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1538661665
JOHN WALL
ALTUS, OK
NPI
1538661665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
JOHN WALL
111 SEQUOYAH LN
ALTUS, OK 73521-1756
Phone number: 580-482-2809
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Mailing Address
JOHN WALL
PO BOX 175
ALTUS, OK 73522-0175
Phone number: 580-482-2809
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