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Individual

MARVIN GENE WRENCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2307 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1725
(919) 736-7494
(919) 736-2923
Mailing address
2307 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1725
(919) 736-7494
(919) 736-2923

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1230
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205247657
SEMINOLE FL HOME OFFICE
NC
Enumeration date
01/05/2016
Last updated
01/05/2016
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