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1316469497
DANIEL ALEXANDER PEDERSEN
WINSTON SALEM, NC
NPI
1316469497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-07375)
Enumeration Date
2017-07-11
Last Update Date
2017-07-11
Business Address
DANIEL ALEXANDER PEDERSEN
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 919-265-8143
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Mailing Address
DANIEL ALEXANDER PEDERSEN
PO BOX 146
UNION GROVE, NC 28689-0146
Phone number: 919-265-8143
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