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1639887193
JUANITA PERDOMO
RALEIGH, NC
NPI
1639887193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12669)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
JUANITA PERDOMO PA-C
2406 BLUE RIDGE RD STE 205
RALEIGH, NC 27607-6666
Phone number: 919-782-4884
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Mailing Address
JUANITA PERDOMO PA-C
1001 MANCHESTER DR
RALEIGH, NC 27609-5152
Phone number: 704-839-9336
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