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1437853744
KATELYN KEITH JACQUES
DURHAM, NC
NPI
1437853744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NC KEIT-Y8EZ5)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
KATELYN KEITH JACQUES DNP A-GNP
407 CRUTCHFIELD ST
DURHAM, NC 27704-2726
Phone number: 919-660-2324
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Mailing Address
KATELYN KEITH JACQUES DNP A-GNP
3560 MOUNT HERMON ROCK CRK RD
GRAHAM, NC 27253-9712
Phone number: 704-776-2777
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