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1730348145
BRENT JOSEPH RYSEWYK
CAMP LEJEUNE, NC
NPI
1730348145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-06-02
Last Update Date
2017-07-14
Business Address
-- BRENT JOSEPH RYSEWYK IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-1323
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Mailing Address
-- BRENT JOSEPH RYSEWYK IDC
100 AIRPORT ROAD LENOIR MEMORIAL HOSPITAL
KINSTON, NC 28501
Phone number: 252-522-7954
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