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1003514670
BRENDAN GOLDUP
RALEIGH, NC
NPI
1003514670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 0010-14215)
Enumeration Date
2023-02-22
Last Update Date
2024-06-05
Business Address
BRENDAN GOLDUP PAC
11221 GALLERIA AVE STE 101
RALEIGH, NC 27614-8137
Phone number: 919-562-9410
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Mailing Address
BRENDAN GOLDUP PAC
PO BOX 1107
WAKE FOREST, NC 27588-1107
Phone number: 919-562-9410
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