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Individual

MRS. BIANCA BAUTISTA WALKER-GUNDOLFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT. ATC

Contact information

Practice address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0204
Mailing address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0204

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-0969
MS
2255A2300X
Athletic Trainer
Primary
AT.0002746
CO
2255A2300X
Athletic Trainer
AT.004832
OH

Other

Enumeration date
10/07/2015
Last updated
12/12/2025
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