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1073244356
JILLIAN ANTONIA FUQUAY
WILMINGTON, NC
NPI
1073244356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12937)
Enumeration Date
2022-06-18
Last Update Date
2024-01-29
Business Address
JILLIAN ANTONIA FUQUAY PA-C
2716 ASHTON DR
WILMINGTON, NC 28412-2489
Phone number: 910-328-3200
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Mailing Address
JILLIAN ANTONIA FUQUAY PA-C
PO BOX 5105
BELFAST, ME 04915-5100
Phone number: 919-220-5255
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