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Justin Walters

Adult Companion in Cincinnati, OH. Individual provider (NPI-1).

NPI number1962010306
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1962010306
Entity type
Individual (NPI-1)
Name
Justin Walters
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 22, 2020
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

858 Northern Pkwy
Cincinnati, OH 45224-1759

Phone 513-516-5853

Mailing address

858 Northern Pkwy
Cincinnati, OH 45224-1759

Phone 513-516-5853

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