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1417427188
ATHENA NICOLE PICKENPACK-COUSAR
GREENSBORO, NC
NPI
1417427188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5011168)
Enumeration Date
2018-11-26
Last Update Date
2021-09-20
Business Address
Mrs. ATHENA NICOLE PICKENPACK-COUSAR NP
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-1000
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Mailing Address
Mrs. ATHENA NICOLE PICKENPACK-COUSAR NP
PO BOX 1737
JAMESTOWN, NC 27282-1737
Phone number: 336-543-8212
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