BRENT WALTERS

GLENVILLE, WV
NPI1376801670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001087)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
-- BRENT WALTERS ATC
200 HIGH ST
GLENVILLE, WV 26351-1200
Phone number: 304-462-6223
Mailing Address
-- BRENT WALTERS ATC
200 HIGH ST
GLENVILLE, WV 26351-1200
Phone number:
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