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Individual

DR. JASON WALGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
2236 PLOWRIDGE RD., FUQUAY VARINA, NC 27526
(919) 880-9079

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163695
NC

Other

Enumeration date
02/28/2019
Last updated
05/04/2026
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