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1740024983
ETHAN WELLS
CLEMMONS, NC
NPI
1740024983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 1219652)
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
MR. ETHAN WELLS PA-C
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012-8041
Phone number: 336-893-2400
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Mailing Address
MR. ETHAN WELLS PA-C
309 RYAN PATRICK LN
LEWISVILLE, NC 27023-9573
Phone number: 336-831-5247
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