Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 24, 2008
License(s)
5003989 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1003 12TH ST | Butner, NC 27509-1626 | 919-575-7276 |
| LOCATION | 1003 12TH ST | Butner, NC 27509-1626 | 919-575-7276 |
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