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Individual

MR. CLIFF JAY WALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST/CFA

Contact information

Practice address
1600 WALLACE BOULEVARD, AMARILLO, TX 79106
(806) 212-2000
Mailing address
8104 LITTLEROCK DR, AMARILLO, TX 79118-8102
(806) 290-7859

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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