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1558675033
LAUREN W IMBODEN
WINSTON SALEM, NC
NPI
1558675033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-02368)
Enumeration Date
2010-07-27
Last Update Date
2010-10-08
Business Address
-- LAUREN W IMBODEN PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- LAUREN W IMBODEN PA
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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