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1831504539
NICHOLAS QUINN WANNEMACHER
CAMP LEJEUNE, NC
NPI
1831504539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2016-00873)
Enumeration Date
2014-06-23
Last Update Date
2024-01-09
Business Address
NICHOLAS QUINN WANNEMACHER D.O.
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-449-2771
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Mailing Address
NICHOLAS QUINN WANNEMACHER D.O.
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-449-2771
Copy
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