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1457772709
ANTONIO BRIAN WALLS
TAMPA, FL
NPI
1457772709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
-- ANTONIO BRIAN WALLS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
-- ANTONIO BRIAN WALLS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Copy
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