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Individual

MR. JESSE W WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13495 KIMBERLY RD, NELSONVILLE, OH 45764
(740) 753-3797
(740) 753-3797
Mailing address
13531 KIMBERLY RD, NELSONVILLE, OH 45764
(740) 753-3797
(740) 753-3797

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2235601
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2235601
OH
Enumeration date
02/21/2007
Last updated
07/08/2007
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