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1427350453
DONALD E. WALLER
JACKSON, MS
NPI
1427350453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MS 1497)
Enumeration Date
2010-11-23
Last Update Date
2010-11-23
Business Address
DONALD E. WALLER
431 N STATE ST
JACKSON, MS 39201-1108
Phone number: 601-949-1949
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Mailing Address
DONALD E. WALLER
4651 TRAWICK DR
JACKSON, MS 39211-5835
Phone number:
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