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1275545584
JERRY SHIPMAN
GOLDSBORO, NC
NPI
1275545584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101242)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Mr. JERRY SHIPMAN PA
201 STEVENS MILL RD
GOLDSBORO, NC 27530-1056
Phone number: 919-731-3206
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Mailing Address
Mr. JERRY SHIPMAN PA
102 N MARION DR
GOLDSBORO, NC 27534-7612
Phone number: 919-751-9309
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