PAUL WALLER

FRISCO, TX
NPI1700238771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-07-01
Last Update Date2016-07-01
Business Address
-- PAUL WALLER
13254 MONDOVI DR
FRISCO, TX 75033-0944
Phone number: 817-360-5181
Mailing Address
-- PAUL WALLER
13254 MONDOVI DR
FRISCO, TX 75033-0944
Phone number: 817-360-5181
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