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Individual
JEFFREY SCOTT WALSH
Active
Individual
JEFFREY SCOTT WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
10676959-3102
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
10676959-4405
UT
Other
Enumeration date
06/15/2021
Last updated
08/26/2022
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