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1578158895
CARLOS MIGUEL CORRALES
FAYETTEVILLE, NC
NPI
1578158895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5014184)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
CARLOS MIGUEL CORRALES FNP
3115 BORDEAUX PARK DR
FAYETTEVILLE, NC 28306-2894
Phone number: 910-307-7337
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Mailing Address
CARLOS MIGUEL CORRALES FNP
8336 CANNON GROVE DR
WILLOW SPRING, NC 27592-7483
Phone number: 305-389-7673
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