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1013311653
REBECCA K DALLAS
WAKE FOREST, NC
NPI
1013311653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 5006981)
Enumeration Date
2014-10-10
Last Update Date
2014-10-10
Business Address
-- REBECCA K DALLAS CPNP
1655 WAKE DRIVE SUITE 101
WAKE FOREST, NC 27587-4746
Phone number: 919-556-4779
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Mailing Address
-- REBECCA K DALLAS CPNP
1655 WAKE DRIVE SUITE 101
WAKE FOREST, NC 27587-4746
Phone number: 919-556-4779
Copy
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