SAMUEL RICHARD WALTON

CHARLOTTESVILLE, VA
NPI1881132942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126001872)
Enumeration Date2017-02-08
Last Update Date2017-02-08
Business Address
-- SAMUEL RICHARD WALTON ATC
1214 SWAN LAKE DR APT 302
CHARLOTTESVILLE, VA 22902-7266
Phone number: 201-991-0659
Mailing Address
-- SAMUEL RICHARD WALTON ATC
1214 SWAN LAKE DR APT 302
CHARLOTTESVILLE, VA 22902-7266
Phone number: 201-991-0659
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