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1932845336
JALAAL MALIK KHAN
KERNERSVILLE, NC
NPI
1932845336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11924)
Enumeration Date
2022-05-09
Last Update Date
2023-07-27
Business Address
JALAAL MALIK KHAN PA
1710 KERNERSVILLE MEDICAL PKWY STE 220
KERNERSVILLE, NC 27284-7156
Phone number: 336-564-4360
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Mailing Address
JALAAL MALIK KHAN PA
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-564-4360
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