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1043728843
IVETTE ELISA HURTADO
FAYETTEVILLE, NC
NPI
1043728843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07769)
Enumeration Date
2018-01-15
Last Update Date
2018-01-15
Business Address
IVETTE ELISA HURTADO
2047 VALLEYGATE DR
FAYETTEVILLE, NC 28304-3688
Phone number: 910-485-3937
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Mailing Address
IVETTE ELISA HURTADO
606 THORNCLIFF DR
RAEFORD, NC 28376-9234
Phone number:
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