ETHAN JOHN BUDSOCK

DURHAM, NC
NPI1952184509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MD  R238820)
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
ETHAN JOHN BUDSOCK
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
Mailing Address
ETHAN JOHN BUDSOCK
1105 PALE MOSS DR
DURHAM, NC 27704-3278
Phone number: 443-813-2640
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