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1154352961
DIANE MARIE DAVIS
DURHAM, NC
NPI
1154352961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101982)
Enumeration Date
2006-07-06
Last Update Date
2022-08-30
Business Address
DIANE MARIE DAVIS PAC
1313 HALLEY ST LYON PARK CLINIC
DURHAM, NC 27707-1227
Phone number: 919-536-4205
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Mailing Address
DIANE MARIE DAVIS PAC
6519 TURKEY RUN W
MEBANE, NC 27302-8652
Phone number:
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