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1285655266
BRENDA K SANDRIDGE
WINSTON SALEM, NC
NPI
1285655266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103254)
Enumeration Date
2006-07-22
Last Update Date
2013-02-20
Business Address
-- BRENDA K SANDRIDGE PA
3333 BROOKVIEW HILLS BLVD SUITE 204
WINSTON SALEM, NC 27103-5661
Phone number: 336-774-3740
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Mailing Address
-- BRENDA K SANDRIDGE PA
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-774-3740
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