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1780737072
ERIC QUENTIN MIZELLE
RALEIGH, NC
NPI
1780737072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC 2008-01971)
Enumeration Date
2007-01-19
Last Update Date
2013-09-10
Business Address
-- ERIC QUENTIN MIZELLE MD
3737 GLENWOOD AVE SUITE 100
RALEIGH, NC 27612-5515
Phone number: 919-561-7999
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Mailing Address
-- ERIC QUENTIN MIZELLE MD
3737 GLENWOOD AVE SUITE 100
RALEIGH, NC 27612-5515
Phone number: 919-561-7999
Copy
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