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1881357796
JAMES DOUGLAS TEASDALL
RALEIGH, NC
NPI
1881357796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: NC 363A0000X)
Enumeration Date
2021-10-18
Last Update Date
2021-11-15
Business Address
JAMES DOUGLAS TEASDALL
3821 ED DR
RALEIGH, NC 27612-8038
Phone number: 984-262-8026
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Mailing Address
JAMES DOUGLAS TEASDALL
2732 FOREST DR
WINSTON SALEM, NC 27104-2014
Phone number: 336-413-5424
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