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Individual

MR. DALE EUGENE WALKE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 759-4144
Mailing address
155 LAKESIDE DR APT 9102, WAXAHACHIE, TX 75165-5193
(972) 937-1178

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AN-86655-2
FL

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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