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1356374680
JENNIFER SUE VANVICKLE
RALEIGH, NC
NPI
1356374680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NC 38724)
Enumeration Date
2006-07-09
Last Update Date
2007-11-06
Business Address
-- JENNIFER SUE VANVICKLE M.D.
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3023
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Mailing Address
-- JENNIFER SUE VANVICKLE M.D.
4020 WESTCHASE BLVD SUITE 390
RALEIGH, NC 27607-3938
Phone number: 919-834-2767
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