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1427305564
JOHN MODARRESS
WINSTON SALEM, NC
NPI
1427305564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NC 35027)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
Dr. JOHN MODARRESS MD
3960 WHITE HAWK LN
WINSTON SALEM, NC 27106-2666
Phone number: 336-922-3440
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Mailing Address
Dr. JOHN MODARRESS MD
3960 WHITE HAWK LN
WINSTON SALEM, NC 27106-2666
Phone number: 336-922-3440
Copy
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