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1831155431
NEIL TEAGUE MASHBURN
KERNERSVILLE, NC
NPI
1831155431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 101146)
Enumeration Date
2006-04-22
Last Update Date
2016-07-22
Business Address
-- NEIL TEAGUE MASHBURN PA
420 W MOUNTAIN ST
KERNERSVILLE, NC 27284-2534
Phone number: 336-993-1618
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Mailing Address
-- NEIL TEAGUE MASHBURN PA
2013 MIDDLEHAM DR
KERNERSVILLE, NC 27284-8650
Phone number: 336-993-2460
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