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1205541091
EARL BLAKE STANSELL
GREENVILLE, NC
NPI
1205541091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-13533)
Enumeration Date
2023-01-17
Last Update Date
2024-09-04
Business Address
EARL BLAKE STANSELL PA-C
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-816-3714
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Mailing Address
EARL BLAKE STANSELL PA-C
72 ADELAIDE DR
GARNER, NC 27529-9230
Phone number: 919-633-7003
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