Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Feb 1, 2010
License(s)
150892 (NC), 150892 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1521 OWEN PARK LN | Fayetteville, NC 28304-3454 | 910-321-6006 |
| MAILING | 1521 OWEN PARK LN | Fayetteville, NC 28304-3454 | 910-321-6006 |
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