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1134621238
EVITA ADICIE PENA BLACKWELL
RAEFORD, NC
NPI
1134621238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 282992)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
MRS. EVITA ADICIE PENA BLACKWELL RN
168 THORNCLIFF DR
RAEFORD, NC 28376-6544
Phone number: 910-224-8681
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Mailing Address
MRS. EVITA ADICIE PENA BLACKWELL RN
168 THORNCLIFF DR
RAEFORD, NC 28376-6544
Phone number: 910-224-8681
Copy
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