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1366519977
REGINA N JUDGE
HENDERSON, NC
NPI
1366519977
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Former Name
REGINA N MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: NC 5004232)
Enumeration Date
2006-11-29
Last Update Date
2021-08-18
Business Address
REGINA N JUDGE CRPNP
451 RUIN CREEK RD SUITE 101
HENDERSON, NC 27536-2878
Phone number: 252-492-9565
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Mailing Address
REGINA N JUDGE CRPNP
11201 CEDAR LAKE DR APT 3H
RALEIGH, NC 27614-5916
Phone number: 410-456-1887
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