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1194282285
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
PEMBROKE, NC
NPI
1194282285
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Entity Type
Organization
Authorized Contact
MOUZON BASS
Administrator
972-367-4845
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
1 UNIVERSITY DRIVE BRAVE HEALTH CENTER
PEMBROKE, NC 28372
Phone number: 910-521-6219
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Mailing Address
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
5050 SPRING VALLEY RD
DALLAS, TX 75244-3995
Phone number:
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