TIMOTHY E WALL

JACKSONVILLE, FL
NPI1346263969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL351)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- TIMOTHY E WALL A.T.
1325 SAN MARCO BLVD #102
JACKSONVILLE, FL 32207-8568
Phone number: 904-858-7045
Mailing Address
-- TIMOTHY E WALL A.T.
1325 SAN MARCO BLVD SUITE 701
JACKSONVILLE, FL 32207-8568
Phone number: 904-858-6418
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