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1447895891
ANDREA KISHBAUGH
FAYETTEVILLE, NC
NPI
1447895891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012563)
Enumeration Date
2019-11-08
Last Update Date
2019-11-20
Business Address
ANDREA KISHBAUGH FNP-C
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304-3571
Phone number: 910-486-8880
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Mailing Address
ANDREA KISHBAUGH FNP-C
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304-3571
Phone number: 910-486-8880
Copy
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