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1285895201
LAURA JEAN KISTLER TETTERTON
DURHAM, NC
NPI
1285895201
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Former Name
LAURA JEAN KISTLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 084764)
Enumeration Date
2008-06-23
Last Update Date
2008-06-23
Business Address
Ms. LAURA JEAN KISTLER TETTERTON NP
508 FULTON ST SURGICAL SERVICES (112)
DURHAM, NC 27705-3875
Phone number: 919-416-5867
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Mailing Address
Ms. LAURA JEAN KISTLER TETTERTON NP
PO BOX 3507 ERWIN ROAD
DURHAM, NC 27710-0001
Phone number: 919-684-4117
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