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1134854839
NICALA NOELL BROOKS
LUMBERTON, NC
NPI
1134854839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
208000000X Pediatrics
(Licence: NC 0010-13076)
Enumeration Date
2022-07-18
Last Update Date
2024-03-26
Business Address
NICALA NOELL BROOKS
400 LIBERTY HILL RD
LUMBERTON, NC 28358-2446
Phone number: 910-739-3318
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Mailing Address
NICALA NOELL BROOKS
5224 DEBUT AVE
HOPE MILLS, NC 28348-7563
Phone number: 505-720-3393
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