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1073739843
JUDY LACKEY KEIGHRON
STATESVILLE, NC
NPI
1073739843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 201255)
Enumeration Date
2007-04-18
Last Update Date
2010-01-14
Business Address
Ms. JUDY LACKEY KEIGHRON FNP-BC
308C MOCKSVILLE HWY
STATESVILLE, NC 28625-8267
Phone number: 704-873-4484
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Mailing Address
Ms. JUDY LACKEY KEIGHRON FNP-BC
164 W MEADOWVIEW DR
STATESVILLE, NC 28625-2448
Phone number: 704-876-3730
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