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1265402739
MICKEY JAMES DEAVERS
CAMP LEJEUNE, NC
NPI
1265402739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01845)
Enumeration Date
2006-01-25
Last Update Date
2022-05-12
Business Address
MICKEY JAMES DEAVERS DMSC, MPAS, PA-C
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4831
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Mailing Address
MICKEY JAMES DEAVERS DMSC, MPAS, PA-C
CHARLES LUKE MILAM CLINIC BLDG 440
CAMP LEJEUNE, NC 28542-0117
Phone number: 910-440-1565
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