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1265488662
KENNETH PELLETIER
RALEIGH, NC
NPI
1265488662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 102579)
Enumeration Date
2006-05-26
Last Update Date
2010-08-12
Business Address
-- KENNETH PELLETIER PA-C
3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609-7341
Phone number: 919-256-1511
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Mailing Address
-- KENNETH PELLETIER PA-C
3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609-7341
Phone number: 919-256-1511
Copy
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