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1093368086
EDELROSE FORTEA BACANTO
FAYETTEVILLE, NC
NPI
1093368086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 6389)
Enumeration Date
2019-07-19
Last Update Date
2020-06-19
Business Address
EDELROSE FORTEA BACANTO CRNA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 805-509-7556
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Mailing Address
EDELROSE FORTEA BACANTO CRNA
2629 EDMONTON RD
FAYETTEVILLE, NC 28304-3768
Phone number:
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