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1568116887
DIANE VIRGINIA LOOS CAMU
RALEIGH, NC
NPI
1568116887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5015735)
Enumeration Date
2022-02-06
Last Update Date
2022-05-13
Business Address
DIANE VIRGINIA LOOS CAMU FNP
4414 LAKE BOONE TRL STE 505
RALEIGH, NC 27607-7521
Phone number: 919-784-2300
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Mailing Address
DIANE VIRGINIA LOOS CAMU FNP
5924 N HILLS DR
RALEIGH, NC 27609-4236
Phone number: 540-420-8015
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