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1518493980
JOSE LUIS MENDOZA
MOUNT AIRY, NC
NPI
1518493980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2020-00580)
Enumeration Date
2017-05-04
Last Update Date
2020-07-21
Business Address
JOSE LUIS MENDOZA M.D.
280 N POINTE BLVD
MOUNT AIRY, NC 27030-2267
Phone number: 336-786-4133
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Mailing Address
JOSE LUIS MENDOZA M.D.
PO BOX 1267
MOUNT AIRY, NC 27030-1267
Phone number: 336-786-4133
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