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1154421188
AMY DESTEFANO
RALEIGH, NC
NPI
1154421188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 36096)
Enumeration Date
2006-09-22
Last Update Date
2023-03-07
Business Address
AMY DESTEFANO MD
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
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Mailing Address
AMY DESTEFANO MD
2501 BLUE RIDGE RD STE 250
RALEIGH, NC 27607-6346
Phone number: 919-863-4128
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