JOHN ROBERT WALLIS

WASILLA, AK
NPI1851545396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AK  AA450)
Enumeration Date2008-11-11
Last Update Date2008-11-11
Business Address
-- JOHN ROBERT WALLIS L.P.C.
3901 E BOGARD RD
WASILLA, AK 99654-6068
Phone number: 907-376-0459
Mailing Address
-- JOHN ROBERT WALLIS L.P.C.
1825 S CHUGACH ST
PALMER, AK 99645-6795
Phone number: 907-746-4080
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