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1275060873
COREY WILLIAM WALTERS
FARGO, ND
NPI
1275060873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-15
Last Update Date
2022-07-21
Business Address
COREY WILLIAM WALTERS
461 34TH ST S STE C
FARGO, ND 58103-2215
Phone number: 701-239-7125
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Mailing Address
COREY WILLIAM WALTERS
461 34TH ST S STE C
FARGO, ND 58103-2215
Phone number: 701-239-7125
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