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1366557472
MICHAEL SHUTAK
KINSTON, NC
NPI
1366557472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101798)
Enumeration Date
2006-08-20
Last Update Date
2014-01-14
Business Address
Mr. MICHAEL SHUTAK PA-C
2601 N HERRITAGE ST
KINSTON, NC 28501-1502
Phone number: 252-208-7800
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Mailing Address
Mr. MICHAEL SHUTAK PA-C
2601 N HERRITAGE ST
KINSTON, NC 28501-1502
Phone number: 252-208-7800
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