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1114363884
NATHAN LEE CARLSON
GOLDSBORO, NC
NPI
1114363884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- NATHAN LEE CARLSON IDMT
1050 JABARRAH AVE
GOLDSBORO, NC 27531-2310
Phone number: 919-722-1821
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Mailing Address
-- NATHAN LEE CARLSON IDMT
1050 JABARRAH AVE
GOLDSBORO, NC 27531-2310
Phone number: 919-722-1821
Copy
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