LARRY WAYNE WALLS

ABILENE, TX
NPI1740480003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT0152)
Enumeration Date2007-07-24
Last Update Date2007-07-24
Business Address
Mr. LARRY WAYNE WALLS LAT
2432 CRESTLINE DR
ABILENE, TX 79602-6218
Phone number: 325-677-0746
Mailing Address
Mr. LARRY WAYNE WALLS LAT
2432 CRESTLINE DR
ABILENE, TX 79602-6218
Phone number: 325-677-0746