ALEX JONATHAN SANDERSON

PEMBROKE, NC
NPI1104854967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  0010-00424)
Enumeration Date2006-06-29
Last Update Date2007-07-09
Business Address
-- ALEX JONATHAN SANDERSON PAC
307 EAST WARDELL DRIVE
PEMBROKE, NC 28372
Phone number: 910-521-2816
Mailing Address
-- ALEX JONATHAN SANDERSON PAC
307 EAST WARDELL DRIVE
PEMBROKE, NC 28372
Phone number: 910-521-2816
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