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1639119860
JAN A VAN RAVESTEYN
CONCORD, NC
NPI
1639119860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 9701631)
Enumeration Date
2006-06-07
Last Update Date
2013-02-08
Business Address
JAN A VAN RAVESTEYN MD
304 WINECOFF SCHOOL ROAD WINECOFF FAMILY PRACTICE
CONCORD, NC 28027
Phone number: 704-262-7901
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Mailing Address
JAN A VAN RAVESTEYN MD
PO BOX 602362
CHARLOTTE, NC 28260-2362
Phone number: 704-262-7901
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