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1245095264
MATTHEW WALTERS
FARGO, ND
NPI
1245095264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
MATTHEW WALTERS
121 UNIVERSITY DR N
FARGO, ND 58102-4631
Phone number: 218-593-1694
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Mailing Address
MATTHEW WALTERS
121 UNIVERSITY DR N
FARGO, ND 58102-4631
Phone number: 218-593-1694
Copy
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