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1902342967
ANTHONY JOSEPH DOMZALSKI
FAYETTEVILLE, NC
NPI
1902342967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06970)
Enumeration Date
2017-01-16
Last Update Date
2017-01-16
Business Address
-- ANTHONY JOSEPH DOMZALSKI PA-C
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-4000
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Mailing Address
-- ANTHONY JOSEPH DOMZALSKI PA-C
38 TAHOE CIR
SANFORD, NC 27332-0123
Phone number: 919-721-3694
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