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1770118929
MICHAEL JOSEPH DISIENO
WILMINGTON, NC
NPI
1770118929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC LCAS-687)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
Mr. MICHAEL JOSEPH DISIENO LCAS
1230 MEDICAL CENTER DR
WILMINGTON, NC 28401-7332
Phone number: 910-799-5452
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Mailing Address
Mr. MICHAEL JOSEPH DISIENO LCAS
444 N CULVERTON RD
WINNABOW, NC 28479-2103
Phone number: 252-526-1252
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