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1710371091
ANTHONY PROVENZANO
GREENVILLE, NC
NPI
1710371091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NC 2019-01052)
Enumeration Date
2015-03-24
Last Update Date
2020-09-03
Business Address
ANTHONY PROVENZANO
511 PALADIN DR
GREENVILLE, NC 27834-7826
Phone number: 252-752-8880
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Mailing Address
ANTHONY PROVENZANO
511 PALADIN DR
GREENVILLE, NC 27834-7826
Phone number: 252-752-8880
Copy
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