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1467787531
JONATHAN R PRENTICE
BURLINGTON, NC
NPI
1467787531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 0010-02026)
Enumeration Date
2009-10-07
Last Update Date
2013-01-31
Business Address
-- JONATHAN R PRENTICE PA-C
1234 HUFFMAN MILL RD
BURLINGTON, NC 27215-8700
Phone number: 336-538-1234
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Mailing Address
-- JONATHAN R PRENTICE PA-C
PO BOX 1717
BURLINGTON, NC 27216-1717
Phone number: 336-538-1234
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