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1407550874
NICOLAS ALLEN BRANDT
WILMINGTON, NC
NPI
1407550874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC RTL23-0266)
Enumeration Date
2023-03-29
Last Update Date
2023-07-19
Business Address
NICOLAS ALLEN BRANDT MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
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Mailing Address
NICOLAS ALLEN BRANDT MD
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-343-7000
Copy
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