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Individual

MARK A DEMORANVILLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3900 BRIDGES ST, MOREHEAD CITY, NC 28557-2900
(252) 515-6976
Mailing address
3372 E RAILROAD BLVD, NEWPORT, NC 28570-8609
(252) 269-4302

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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