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1972573293
JONATHON G DEWALD
WILSON, NC
NPI
1972573293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 28169)
Enumeration Date
2006-01-26
Last Update Date
2008-03-04
Business Address
-- JONATHON G DEWALD M.D.
2605 FOREST HILLS RD SW SUITE B
WILSON, NC 27893-4448
Phone number: 252-243-7542
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Mailing Address
-- JONATHON G DEWALD M.D.
PO BOX 3585
WILSON, NC 27895-3585
Phone number: 252-243-7542
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