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1164910501
TRENT WALKER DIETSCHE
WINSTON SALEM, NC
NPI
1164910501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2020036425)
Enumeration Date
2018-05-01
Last Update Date
2024-09-16
Business Address
Dr. TRENT WALKER DIETSCHE DO
4807 COUNTRY CLUB RD
WINSTON SALEM, NC 27104-4503
Phone number: 336-245-8159
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Mailing Address
Dr. TRENT WALKER DIETSCHE DO
4807 COUNTRY CLUB RD
WINSTON SALEM, NC 27104-4503
Phone number: 336-245-8159
Copy
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