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1770885279
JONATHAN WALTER
DURHAM, NC
NPI
1770885279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 12929)
Enumeration Date
2010-12-03
Last Update Date
2010-12-03
Business Address
-- JONATHAN WALTER DPT
2059 TORREDGE RD
DURHAM, NC 27712-1767
Phone number: 919-620-0581
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Mailing Address
-- JONATHAN WALTER DPT
608 ARNETTE AVE
DURHAM, NC 27701-3114
Phone number: 509-475-8699
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