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1659940583
TIMOTHY MICHAEL WALSH
MIDLOTHIAN, VA
NPI
1659940583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024180507)
Enumeration Date
2021-06-24
Last Update Date
2023-01-16
Business Address
TIMOTHY MICHAEL WALSH
6504 WOODLAKE VILLAGE CIR
MIDLOTHIAN, VA 23112-2200
Phone number: 804-823-5475
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Mailing Address
TIMOTHY MICHAEL WALSH
3807 EVERSHOT DR
MIDLOTHIAN, VA 23112-4495
Phone number: 914-844-4965
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