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1043367170
TIMOTHY MARSHALL HACKLER
CAMP LEJEUNE, NC
NPI
1043367170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 1073868)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- TIMOTHY MARSHALL HACKLER
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-3905
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Mailing Address
-- TIMOTHY MARSHALL HACKLER
730 STONEWALL AVE
JACKSONVILLE, NC 28540-8850
Phone number: 910-388-3660
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