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1336437367
PAUL EMANUEL FAGAN
STATESVILLE, NC
NPI
1336437367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03452)
Enumeration Date
2011-07-12
Last Update Date
2023-06-05
Business Address
Mr. PAUL EMANUEL FAGAN PA-C
702 HARTNESS RD
STATESVILLE, NC 28677-3425
Phone number: 704-871-9818
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Mailing Address
Mr. PAUL EMANUEL FAGAN PA-C
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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