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1972570448
SUE H MAULTSBY
WINSTON SALEM, NC
NPI
1972570448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 100307)
Enumeration Date
2006-03-03
Last Update Date
2011-02-09
Business Address
Ms. SUE H MAULTSBY PA
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
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Mailing Address
Ms. SUE H MAULTSBY PA
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
Copy
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