Individual
JOHN MICHAEL ABLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
(919) 273-5578
Mailing address
104 BITTERWOOD PL, GOLDSBORO, NC 27530-0805
(919) 273-5578
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
LAT-2623
NC
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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