DARRELL LEE DEDEAUX

WINSTON SALEM, NC
NPI1023556461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  116077)
Enumeration Date2017-02-06
Last Update Date2019-10-25
Business Address
DARRELL LEE DEDEAUX NP-C
380 KNOLLWOOD ST # 505
WINSTON SALEM, NC 27103-1884
Phone number: 833-357-2966
Mailing Address
DARRELL LEE DEDEAUX NP-C
129 T.T. LANIER STREET
BUIES CREEK, NC 27506
Phone number: 910-893-1562
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