Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Oct 4, 2019
License(s)
5021370 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 1490 | Boone, NC 28607-0682 | 828-262-3886 |
| LOCATION | 110 DUTCHMAN CT | Elkin, NC 28621-2237 | 336-835-7337 |
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