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1205517224
JEFFREY VICKERMAN
DURHAM, NC
NPI
1205517224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
JEFFREY VICKERMAN
800 S DUKE ST
DURHAM, NC 27701-3902
Phone number: 919-681-3161
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Mailing Address
JEFFREY VICKERMAN
607 ROCKCASTLE DR
CARY, NC 27519-2601
Phone number:
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