PHILIP ANTONINUS D'AVILAR

MONROE, NC
NPI1801854302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103028)
Enumeration Date2006-05-03
Last Update Date2024-07-15
Business Address
PHILIP ANTONINUS D'AVILAR PA
613 E ROOSEVELT BLVD
MONROE, NC 28112-5124
Phone number: 704-283-8193
Mailing Address
PHILIP ANTONINUS D'AVILAR PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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