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1114468303
LATICIA BRYANT
GREENVILLE, NC
NPI
1114468303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NC 5009393)
Enumeration Date
2017-03-20
Last Update Date
2020-12-10
Business Address
LATICIA BRYANT NP
2100 STANTONSBURG RD SUITE 1AD 200
GREENVILLE, NC 27834-2818
Phone number: 252-847-3898
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Mailing Address
LATICIA BRYANT NP
3820 GLOUCESTER DR W
WILSON, NC 27893-9215
Phone number: 252-218-5194
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