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1730359183
DANIEL E MATTINGLY
DURHAM, NC
NPI
1730359183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100561)
Enumeration Date
2008-03-01
Last Update Date
2008-03-01
Business Address
-- DANIEL E MATTINGLY
116 CRUTCHFIELD ST
DURHAM, NC 27704-2722
Phone number: 919-471-5474
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Mailing Address
-- DANIEL E MATTINGLY
116 CRUTCHFIELD ST
DURHAM, NC 27704-2722
Phone number:
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