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1073002150
JOHNATHAN HARRY STATHOPOULOS
CHAPEL HILL, NC
NPI
1073002150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 238207)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
JOHNATHAN HARRY STATHOPOULOS MD
101 MANNING DRIVE CB# 7160
CHAPEL HILL, NC 27599
Phone number: 984-974-3982
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Mailing Address
JOHNATHAN HARRY STATHOPOULOS MD
101 MANNING DR # 7160
CHAPEL HILL, NC 27514-4220
Phone number: 984-974-3982
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