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1568980910
KEVIN W. WALLS
MARLBOROUGH, MA
NPI
1568980910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1020)
Enumeration Date
2017-09-06
Last Update Date
2017-09-06
Business Address
KEVIN W. WALLS ATC, LAT
431 BOLTON ST
MARLBOROUGH, MA 01752-3950
Phone number: 508-460-3500
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Mailing Address
KEVIN W. WALLS ATC, LAT
87 GLENWOOD DR
LEOMINSTER, MA 01453-4647
Phone number: 978-537-3806
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