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1285306647
TIMOTHY D WALLER
COLUMBUS, OH
NPI
1285306647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-10-04
Last Update Date
2022-03-21
Business Address
TIMOTHY D WALLER
527 S HIGH ST
COLUMBUS, OH 43215-5602
Phone number: 614-438-3400
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Mailing Address
TIMOTHY D WALLER
1801 WATERMARK DR
COLUMBUS, OH 43215-7088
Phone number: 614-438-3400
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