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1215566831
JUSTIN DAVID LEAVITT
WILMINGTON, NC
NPI
1215566831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 261839)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
JUSTIN DAVID LEAVITT MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
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Mailing Address
JUSTIN DAVID LEAVITT MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
Copy
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