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Individual

MR. VINCENT WALKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5411 N 129TH ST, OMAHA, NE 68164-1626
(402) 917-1509
Mailing address
5411 N 129TH ST, OMAHA, NE 68164-1626
(402) 917-1509

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
NE

Other

Enumeration date
11/29/2021
Last updated
11/29/2021
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