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1295363612
JUSTIN ALEXANDER HALL
WINSTON SALEM, NC
NPI
1295363612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
JUSTIN ALEXANDER HALL
MEDICAL CENTER BOULEVARD DEPARTMENT OF OTOLARYNGOLOGY
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3850
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Mailing Address
JUSTIN ALEXANDER HALL
15405 SE 105TH TERRACE RD
SUMMERFIELD, FL 34491-4637
Phone number: 352-789-1503
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