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1144899964
JACQUELINE DAVANZO BRADY
GREENVILLE, NC
NPI
1144899964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NC 5014598)
Enumeration Date
2021-06-24
Last Update Date
2021-12-29
Business Address
Mrs. JACQUELINE DAVANZO BRADY NNP-BC
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4378
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Mailing Address
Mrs. JACQUELINE DAVANZO BRADY NNP-BC
3588 S BEND RD
WINTERVILLE, NC 28590-1405
Phone number: 252-341-9544
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