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1104515162
SAMANTHA CAROLE PERNELL
HENDERSON, NC
NPI
1104515162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 287819)
Enumeration Date
2023-05-04
Last Update Date
2023-10-03
Business Address
SAMANTHA CAROLE PERNELL
511 RUIN CREEK RD
HENDERSON, NC 27536-5919
Phone number: 252-436-0440
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Mailing Address
SAMANTHA CAROLE PERNELL
1846 KITTRELL RD
KITTRELL, NC 27544-9013
Phone number: 125-243-2797
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