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1942799804
JOHNATHON RECKNAGEL
RALEIGH, NC
NPI
1942799804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 2022-01254)
Enumeration Date
2018-05-07
Last Update Date
2022-06-29
Business Address
JOHNATHON RECKNAGEL MD
4414 LAKE BOONE TRL STE 308
RALEIGH, NC 27607-7514
Phone number: 919-781-7450
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Mailing Address
JOHNATHON RECKNAGEL MD
504 E PETTIGREW ST APT 559
DURHAM, NC 27701-3896
Phone number: 734-478-6731
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