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1093546145
SAVANNAH LAVINIA STACKHOUSE
FAYETTEVILLE, NC
NPI
1093546145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5020623)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
SAVANNAH LAVINIA STACKHOUSE
2125 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304-3753
Phone number: 910-864-0689
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Mailing Address
SAVANNAH LAVINIA STACKHOUSE
2125 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304-3753
Phone number: 910-864-0689
Copy
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