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1861840803
JONATHAN BAZA
LUMBERTON, NC
NPI
1861840803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 219504)
Enumeration Date
2016-06-01
Last Update Date
2016-12-27
Business Address
-- JONATHAN BAZA DO
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-738-2662
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Mailing Address
-- JONATHAN BAZA DO
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-738-2662
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