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Individual

MR. JOHN ROBERT HORN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
508 FULTON ST, MEDICAL SERVICE (111), DURHAM, NC 27705-3875
(919) 286-0411
(919) 286-6873
Mailing address
5404 HALLMARK RD, DURHAM, NC 27712-2054
(919) 477-9343

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100655
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100655
STATE LICENSE
NC
Enumeration date
03/17/2006
Last updated
07/08/2007
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