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1114531183
ALEXANDER DERGINS
WINSTON SALEM, NC
NPI
1114531183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
ALEXANDER DERGINS
601 S MARTIN LUTHER KING JR DR FL 432
WINSTON SALEM, NC 27110-0001
Phone number: 828-443-6341
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Mailing Address
ALEXANDER DERGINS
601 S MARTIN LUTHER KING JR DR FL 432
WINSTON SALEM, NC 27110-0001
Phone number:
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