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1184789026
WANDA MARIE FAIRCLOTH
LUMBERTON, NC
NPI
1184789026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 0050-02517)
Enumeration Date
2006-12-22
Last Update Date
2024-01-24
Business Address
WANDA MARIE FAIRCLOTH FNP
725 OAKRIDGE BLVD STE B2
LUMBERTON, NC 28358-2351
Phone number: 910-671-0052
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Mailing Address
WANDA MARIE FAIRCLOTH FNP
5221 PARAMOUNT PKWY STE 220
MORRISVILLE, NC 27560-5490
Phone number:
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