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1578502134
MARYELLEN C LANE
PINEHURST, NC
NPI
1578502134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: NC 123435)
Enumeration Date
2006-06-06
Last Update Date
2008-05-14
Business Address
-- MARYELLEN C LANE NNP
155 MEMORIAL DR
PINEHURST, NC 28374-8710
Phone number: 910-715-2085
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Mailing Address
-- MARYELLEN C LANE NNP
PO BOX 3000
PINEHURST, NC 28374-3000
Phone number: 910-715-2085
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