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1093369977
RENITA DELOATCH SMALLWOOD
AHOSKIE, NC
NPI
1093369977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012051)
Enumeration Date
2019-07-29
Last Update Date
2024-02-29
Business Address
RENITA DELOATCH SMALLWOOD FNP
500 ACADEMY ST S
AHOSKIE, NC 27910-3261
Phone number: 252-209-3385
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Mailing Address
RENITA DELOATCH SMALLWOOD FNP
126 FOREST DRIVE RD
AHOSKIE, NC 27910-9576
Phone number: 252-642-2986
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