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1538461967
BETHANY J SPRAGUE
STATESVILLE, NC
NPI
1538461967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5004963)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
Ms. BETHANY J SPRAGUE
2632 FINES CREEK DR
STATESVILLE, NC 28625
Phone number: 704-880-8665
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Mailing Address
Ms. BETHANY J SPRAGUE
4622 PALLADIUM PL
CHARLOTTE, NC 28269-8130
Phone number: 704-728-9509
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