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1740241165
JOHN S. RIVERAL
WINSTON SALEM, NC
NPI
1740241165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100112)
Enumeration Date
2006-03-28
Last Update Date
2007-09-12
Business Address
Mr. JOHN S. RIVERAL PA-C
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1508
Phone number: 336-718-1000
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Mailing Address
Mr. JOHN S. RIVERAL PA-C
2000 FRONTIS PLAZA BLVD STE 200 ATTN NOVANT MEDICAL GROUP FORSYTH
WINSTON SALEM, NC 27103-5616
Phone number: 336-277-2436
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