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Individual

BRIAN VAN DOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-2545
Mailing address
43 SAM COBB LN, PRINCETON, MA 01541-1801
(978) 790-9356

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL25-0424
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/02/2022
Last updated
05/19/2025
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