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1528130200
SUJATA MEHTA-LOONEY
WINSTON SALEM, NC
NPI
1528130200
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Former Name
SUJATA MEHTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-00709)
Enumeration Date
2006-11-15
Last Update Date
2011-11-30
Business Address
-- SUJATA MEHTA-LOONEY PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- SUJATA MEHTA-LOONEY PA
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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