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1063838530
MICHAEL WALLER
SALISBURY, NC
NPI
1063838530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-03-08
Last Update Date
2014-03-08
Business Address
-- MICHAEL WALLER
2300 W INNES ST
SALISBURY, NC 28144-2441
Phone number: 317-938-7290
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Mailing Address
-- MICHAEL WALLER
2300 W INNES ST
SALISBURY, NC 28144-2441
Phone number:
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