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1386102432
LAURA WALLER
MCMINNVILLE, OR
NPI
1386102432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR ATAT10185313)
Enumeration Date
2019-03-07
Last Update Date
2019-03-07
Business Address
LAURA WALLER ATC
615 NE 15TH ST
MCMINNVILLE, OR 97128-3399
Phone number: 503-565-4200
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Mailing Address
LAURA WALLER ATC
2143 WELLS DR
HOOD RIVER, OR 97031-8443
Phone number: 541-399-0570
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