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Individual

JOSEPH DURRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.F.O.

Contact information

Practice address
744 HARTNESS ROAD, STATESVILLE, NC 28677-3425
(704) 878-9168
(704) 871-0655
Mailing address
744 HARTNESS ROAD, STATESVILLE, NC 28677-3425
(704) 878-9168
(704) 871-0655

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7702811
NC
05
7795314
NC
Enumeration date
04/11/2007
Last updated
10/15/2010
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