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1316173503
DAVID WAYNE VAN WYCK
PINEHURST, NC
NPI
1316173503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC 2015-00419)
Enumeration Date
2009-06-02
Last Update Date
2018-04-24
Business Address
Dr. DAVID WAYNE VAN WYCK D.O.
155 MEMORIAL DR
PINEHURST, NC 28374-8710
Phone number: 910-715-2164
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Mailing Address
Dr. DAVID WAYNE VAN WYCK D.O.
9040 FITZSIMMONS DR
TACOMA, WA 98431-1000
Phone number: 253-968-1399
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