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1154942035
BEAU TIMOTHY WAKEFIELD
CHERRYVILLE, NC
NPI
1154942035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013067)
Enumeration Date
2020-05-01
Last Update Date
2023-07-11
Business Address
Mr. BEAU TIMOTHY WAKEFIELD NP-C
2501 LINCOLNTON HWY
CHERRYVILLE, NC 28021-8346
Phone number: 704-445-7162
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Mailing Address
Mr. BEAU TIMOTHY WAKEFIELD NP-C
2501 LINCOLNTON HWY
CHERRYVILLE, NC 28021-8346
Phone number: 704-445-7162
Copy
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