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Individual
MR. ROBERT GORDON WRIGHT
Active
Individual
MR. ROBERT GORDON WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01143
NC
363A00000X
Physician Assistant
PA368
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0642PA
—
SC
Enumeration date
07/04/2006
Last updated
06/25/2008
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