John Wall

NPI #1538661665 in Altus, Oklahoma

Provider Information

NPI Number
1538661665
Entity Type
Individual
Name
John Wall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 5, 2018
Last Updated
Mar 5, 2018

Practice Location

Address
111 SEQUOYAH LN
City
Altus
ZIP Code
73521-1756
Phone
(580) 482-2809

Specialties & Taxonomy Codes

Specialty
Counselor

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