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1164044327
JESSICA CANAAN
HAMPSTEAD, NC
NPI
1164044327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09661)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
JESSICA CANAAN PA-C
144 MERCHANTS CIR
HAMPSTEAD, NC 28443-5260
Phone number: 910-803-0340
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Mailing Address
JESSICA CANAAN PA-C
1015 NUTT ST APT 244
WILMINGTON, NC 28401-4381
Phone number:
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