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1699922302
BRUCE WAYNE WALSH
ROXBORO, NC
NPI
1699922302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1977)
Enumeration Date
2008-08-25
Last Update Date
2008-08-25
Business Address
-- BRUCE WAYNE WALSH
355 C1 S. MADISON BLVD
ROXBORO, NC 27573
Phone number: 336-599-8366
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Mailing Address
-- BRUCE WAYNE WALSH
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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