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Individual

HARRY DEAK WALDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPA-C

Contact information

Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 763-7344
(910) 332-3833
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 763-7344
(910) 332-3833

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
04/15/2010
Last updated
04/15/2010
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