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Individual

JUSTIN FORD WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
1629 W 8TH ST, PORT ANGELES, WA 98363-5207
(541) 580-6190

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60891499
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/04/2017
Last updated
01/31/2019
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