WALTER THEODORE PUTVIN

OLYMPIA, WA
NPI1962530410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Mr. WALTER THEODORE PUTVIN ATC
1828 BIGELOW AVE NE
OLYMPIA, WA 98506-4604
Phone number: 360-493-1155
Mailing Address
Mr. WALTER THEODORE PUTVIN ATC
1828 BIGELOW AVE NE
OLYMPIA, WA 98506-4604
Phone number: 360-493-1155
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