Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 2, 2011
License(s)
5005383 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 303 GREEN ST E | Wilson, NC 27893-4105 | 919-802-3315 |
| LOCATION | 303 GREEN ST E | Wilson, NC 27893-4105 | 919-802-3315 |
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