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1760675052
PETER VINCENT
WILMINGTON, NC
NPI
1760675052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC 00954165)
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
Mr. PETER VINCENT RD,LDN
2029 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-798-6674
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Mailing Address
Mr. PETER VINCENT RD,LDN
203 CENTRAL AVE
LAKE WACCAMAW, NC 28450-2107
Phone number: 910-232-0562
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