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1326028382
TERRY MICHAEL DEAKLE
CLEMMONS, NC
NPI
1326028382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 00543)
Enumeration Date
2006-01-18
Last Update Date
2024-06-10
Business Address
TERRY MICHAEL DEAKLE PA
6301 STADIUM DR
CLEMMONS, NC 27012-8766
Phone number: 336-766-6473
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Mailing Address
TERRY MICHAEL DEAKLE PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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