JULIAN WALLIS

EVANSTON, IL
NPI1063112720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
JULIAN WALLIS
800 ELGIN RD APT 1316
EVANSTON, IL 60201-5629
Phone number: 312-273-8704
Mailing Address
JULIAN WALLIS
800 ELGIN RD APT 1316
EVANSTON, IL 60201-5629
Phone number: 312-273-8704
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