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1417588245
JACOB LANEY HINES
WILSON, NC
NPI
1417588245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012808)
Enumeration Date
2020-01-30
Last Update Date
2020-02-04
Business Address
JACOB LANEY HINES FNP-BC
303 GREEN ST E
WILSON, NC 27893-4105
Phone number: 252-243-9800
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Mailing Address
JACOB LANEY HINES FNP-BC
1825 SPARROW HAWK LN
ROCKY MOUNT, NC 27804-9281
Phone number: 252-955-3042
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