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Individual

NICOLE ANNE WALETZKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 S VALLEY PKWY, LEWISVILLE, TX 75067-2077
(972) 829-2111
Mailing address
2991 STUNNING DR, LITTLE ELM, TX 75068-4004
(571) 225-1809

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8152
TX

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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