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1619595907
DONTA TAVON WALTON
BALTIMORE, MD
NPI
1619595907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R211890)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
Mr. DONTA TAVON WALTON AGACNP-BC
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-8667
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Mailing Address
Mr. DONTA TAVON WALTON AGACNP-BC
6211 MCKAY CIR
ROSEDALE, MD 21237-2069
Phone number: 443-854-1553
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