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1104412493
ELISE D STANFORD
DURHAM, NC
NPI
1104412493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5013882)
Enumeration Date
2020-12-21
Last Update Date
2020-12-31
Business Address
ELISE D STANFORD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
ELISE D STANFORD
244 N SERENITY HILL CIR
CHAPEL HILL, NC 27516-0463
Phone number: 203-565-6980
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