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1740500495
CARLOS FERNANDO BURGOA-RIO
WINSTON SALEM, NC
NPI
1740500495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-02248)
Enumeration Date
2010-06-04
Last Update Date
2010-06-04
Business Address
Mr. CARLOS FERNANDO BURGOA-RIO PA-C
2050 GRIFFITH RD
WINSTON SALEM, NC 27103-5509
Phone number: 336-293-4510
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Mailing Address
Mr. CARLOS FERNANDO BURGOA-RIO PA-C
3555 SYCAMORE TRL APT 205
WINSTON SALEM, NC 27103-6862
Phone number: 336-776-0966
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