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1700564986
ALEX NICKOLIS BORYSZCZUK
CONCORD, NC
NPI
1700564986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13566)
Enumeration Date
2023-07-07
Last Update Date
2024-07-19
Business Address
ALEX NICKOLIS BORYSZCZUK PA
100 MEDICAL PARK DR STE 210
CONCORD, NC 28025-2948
Phone number: 704-403-6100
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Mailing Address
ALEX NICKOLIS BORYSZCZUK PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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