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Individual
MARY J WALKER
Active
Individual
MARY J WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39083231
—
TN
Enumeration date
06/14/2006
Last updated
04/11/2013
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