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Individual
JOHANNES LOURENS DU PISANIE JR.
Active
Individual
JOHANNES LOURENS DU PISANIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2020-01276
NC
390200000X
Student in an Organized Health Care Education/Training Program
2020-01276
NC
Other
Enumeration date
03/30/2018
Last updated
09/12/2024
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