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1083882765
GREGORY DAMON SHANTON
NEWPORT, NC
NPI
1083882765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 101943)
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
Mr. GREGORY DAMON SHANTON PA
420 OLD AIRPORT RD
NEWPORT, NC 28570-6560
Phone number: 252-528-4734
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Mailing Address
Mr. GREGORY DAMON SHANTON PA
420 OLD AIRPORT RD
NEWPORT, NC 28570-6560
Phone number: 252-528-4734
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