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1750476578
JAMES MICHAEL PROVENZALE
DURHAM, NC
NPI
1750476578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NC 35727)
Enumeration Date
2006-10-04
Last Update Date
2023-10-31
Business Address
DR. JAMES MICHAEL PROVENZALE M.D.
4101 N ROXBORO ST
DURHAM, NC 27704-2121
Phone number: 919-684-8111
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Mailing Address
DR. JAMES MICHAEL PROVENZALE M.D.
PO BOX 63362
CHARLOTTE, NC 28263-3362
Phone number:
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