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1225153158
WALTER JOHN KRUG
WILMINGTON, NC
NPI
1225153158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: NC 0590)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Mr. WALTER JOHN KRUG M.A.
3311 BURNT MILL DR
WILMINGTON, NC 28403-2654
Phone number: 910-251-5817
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Mailing Address
Mr. WALTER JOHN KRUG M.A.
4145 SPIREA DR APT C
WILMINGTON, NC 28403
Phone number: 910-392-6148
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