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1417536996
ROBERT JACKSON TEASDALL
WINSTON SALEM, NC
NPI
1417536996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-03
Last Update Date
2021-04-03
Business Address
Dr. ROBERT JACKSON TEASDALL MD
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3932
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Mailing Address
Dr. ROBERT JACKSON TEASDALL MD
2732 FOREST DR
WINSTON SALEM, NC 27104-2014
Phone number: 336-416-9149
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