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1962629493
GASTON DIGESTIVE DISEASE CLINIC, P.A.
GASTONIA, NC
NPI
1962629493
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Entity Type
Organization
Authorized Contact
SAMUEL THOMAS DRAKE
President
704-867-3585
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 23513)
Enumeration Date
2007-04-19
Last Update Date
2008-04-17
Business Address
GASTON DIGESTIVE DISEASE CLINIC, P.A.
2550 COURT DR STE 201
GASTONIA, NC 28054-2152
Phone number: 704-867-3585
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Mailing Address
GASTON DIGESTIVE DISEASE CLINIC, P.A.
2550 COURT DR STE 201
GASTONIA, NC 28054-2152
Phone number: 704-867-3585
Copy
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