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Dylan Joseph Defauw
Student in an Organized Health Care Education/Training Program in Greenville, North Carolina
NPI 1720604416

Dylan Joseph Defauw is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Dylan Joseph Defauw practices in Greenville, NC. The NPI Number for Dylan Joseph Defauw is 1720604416 and holds a License No. (North Carolina).

The current practice location address for Dylan Joseph Defauw is 600 Moye Blvd, Greenville, NC and can be reached out via phone at 252-744-6478.

Location: 600 Moye Blvd, Greenville, NC, 27834-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720604416
Provider Name
Dylan Joseph Defauw
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Moye Blvd, Greenville, NC, 27834-4300
Phone Number
252-744-6478
Fax Number
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-4300
Phone Number
252-744-6478
Fax Number
person
Provider Business Mailing Address Details
Address
600 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-4300
Phone Number
252-744-6478
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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