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1255081980
RICHARD EDWARD JERNIGAN
WILMINGTON, NC
NPI
1255081980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC JERN-KSG2JP)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
Dr. RICHARD EDWARD JERNIGAN MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
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Mailing Address
Dr. RICHARD EDWARD JERNIGAN MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
Copy
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