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1083075071
EDGARDO JOSE
GREENVILLE, NC
NPI
1083075071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5008452)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
-- EDGARDO JOSE
302 MARY BETH DR
GREENVILLE, NC 27858-8118
Phone number: 910-322-4032
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Mailing Address
-- EDGARDO JOSE
302 MARY BETH DR
GREENVILLE, NC 27858-8118
Phone number: 910-322-4032
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