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1306186929
POL MARTIN DIMASUHID VEDAR
WINSTON SALEM, NC
NPI
1306186929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04078)
Enumeration Date
2013-02-19
Last Update Date
2024-02-23
Business Address
POL MARTIN DIMASUHID VEDAR PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
POL MARTIN DIMASUHID VEDAR PA
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2255
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