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1225696842
NICHOLAS TYLER WALSH
CHICAGO, IL
NPI
1225696842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-007-156)
Enumeration Date
2019-05-29
Last Update Date
2021-11-22
Business Address
Mr. NICHOLAS TYLER WALSH PA-C
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 888-352-7874
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Mailing Address
Mr. NICHOLAS TYLER WALSH PA-C
1520 S MAIN ST STE 2
DAYTON, OH 45409-2643
Phone number: 937-461-5815
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