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Individual
MISS MARGARET ALICE WALKER
Active
Individual
MISS MARGARET ALICE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA055005
PA
363L00000X
Nurse Practitioner
Primary
C5-0012212
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA055005
STATE LICENSE
PA
Enumeration date
11/05/2010
Last updated
01/17/2025
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