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1235612441
SAMANTHA RYAN PETRUCELLI
GREENSBORO, NC
NPI
1235612441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08427)
Enumeration Date
2018-09-13
Last Update Date
2018-09-27
Business Address
SAMANTHA RYAN PETRUCELLI PA-C
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-207-7005
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Mailing Address
SAMANTHA RYAN PETRUCELLI PA-C
410 W SMITH ST APT 1B
GREENSBORO, NC 27401-2296
Phone number: 610-476-0624
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