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1174963359
JOHN ROLLAND LAISURE
WINSTON SALEM, NC
NPI
1174963359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04044)
Enumeration Date
2013-07-02
Last Update Date
2022-01-05
Business Address
JOHN ROLLAND LAISURE PA-C
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-5846
Phone number: 336-713-4500
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Mailing Address
JOHN ROLLAND LAISURE PA-C
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: 336-716-0238
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