DEON TRAVELL RIDGELL

FORT LIBERTY, NC
NPI1487721874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-03495)
Enumeration Date2006-11-29
Last Update Date2024-01-08
Business Address
Mr. DEON TRAVELL RIDGELL PA
2817 REILLY ST
FORT LIBERTY, NC 28310-5647
Phone number: 910-907-4005
Mailing Address
Mr. DEON TRAVELL RIDGELL PA
2817 REILLY ST
FORT LIBERTY, NC 28310-0601
Phone number: 910-853-1285
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