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1538715578
MICAELA DIONYSIOS ANTZOULATOS
WILMINGTON, NC
NPI
1538715578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10240)
Enumeration Date
2019-08-15
Last Update Date
2022-11-11
Business Address
MICAELA DIONYSIOS ANTZOULATOS PA-C
2311 DELANEY AVE
WILMINGTON, NC 28403-6012
Phone number: 910-762-8754
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Mailing Address
MICAELA DIONYSIOS ANTZOULATOS PA-C
2311 DELANEY AVE
WILMINGTON, NC 28403-6012
Phone number: 910-762-8754
Copy
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