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1073663506
MARY KAY HOSTETLER
GREENVILLE, NC
NPI
1073663506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NC 137721)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- MARY KAY HOSTETLER NNP
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4113
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Mailing Address
-- MARY KAY HOSTETLER NNP
2223 LOCKSLEY WOODS DR UNIT #H
GREENVILLE, NC 27858-5455
Phone number: 252-355-5720
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