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1316427560
JOHN WALSH
SOUTH BEND, IN
NPI
1316427560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IN 71008427A)
Enumeration Date
2018-08-17
Last Update Date
2023-04-28
Business Address
JOHN WALSH AG-ACNP
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601-1075
Phone number: 574-647-5875
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Mailing Address
JOHN WALSH AG-ACNP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 547-647-1840
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