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1164907499
NATHALIE MEDINA
FAYETTEVILLE, NC
NPI
1164907499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
NATHALIE MEDINA
2212 HOPE MILLS RD
FAYETTEVILLE, NC 28304-4228
Phone number: 910-779-0454
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Mailing Address
NATHALIE MEDINA
755 OMAHA DR
BROADWAY, NC 27505-8161
Phone number: 908-612-2242
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