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1063702165
BRYAN DWAYNE STUP
GOLDSBORO, NC
NPI
1063702165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2014-00559)
Enumeration Date
2011-04-11
Last Update Date
2023-03-07
Business Address
BRYAN DWAYNE STUP MD
2706 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9460
Phone number: 919-734-4736
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Mailing Address
BRYAN DWAYNE STUP MD
2706 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9460
Phone number: 919-734-4736
Copy
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