JOHNATHAN DONALD DEBETTA

LILLINGTON, NC
NPI1164003570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-11534)
Enumeration Date2021-04-16
Last Update Date2021-12-07
Business Address
JOHNATHAN DONALD DEBETTA
4350 US 421 S
LILLINGTON, NC 27546-6760
Phone number: 910-893-1210
Mailing Address
JOHNATHAN DONALD DEBETTA
10118 KNOTTY PINE LN
RALEIGH, NC 27617-8218
Phone number: 631-678-8049
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