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1871057851
DENNIS JAGDON
GASTONIA, NC
NPI
1871057851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 141259)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
DENNIS JAGDON SRNA
1550 UNION RD
GASTONIA, NC 28054-5522
Phone number: 704-864-8772
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Mailing Address
DENNIS JAGDON SRNA
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC 27834-3770
Phone number: 252-752-2140
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