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1215936356
DOMENIC A PALAGRUTO
SOUTHPORT, NC
NPI
1215936356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200100586)
Enumeration Date
2005-07-20
Last Update Date
2007-07-09
Business Address
-- DOMENIC A PALAGRUTO D.O.
3599 GEORGE II HWY
SOUTHPORT, NC 28461-7793
Phone number: 910-845-3244
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Mailing Address
-- DOMENIC A PALAGRUTO D.O.
3599 GEORGE II HWY
SOUTHPORT, NC 28461-9766
Phone number: 910-845-3244
Copy
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