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1831494525
ROBERT WALLER
ALBUQUERQUE, NM
NPI
1831494525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 590)
Enumeration Date
2011-01-11
Last Update Date
2024-10-29
Business Address
Mr. ROBERT WALLER MS, ATC, LAT, NASM
10651 WILSHIRE AVE NE
ALBUQUERQUE, NM 87122-3160
Phone number: 307-766-2323
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Mailing Address
Mr. ROBERT WALLER MS, ATC, LAT, NASM
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: 505-272-1476
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