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Individual
MR. JOHN ELLIOTT WALKER
Active
Individual
MR. JOHN ELLIOTT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA RNC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R111829
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R111829
NURSING LICENSE
MD
Enumeration date
10/19/2006
Last updated
08/23/2007
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