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1588437065
JOEMEL JAY MEDIAVILLA BALOYO
PINEHURST, NC
NPI
1588437065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5019214)
Enumeration Date
2023-11-06
Last Update Date
2024-08-30
Business Address
Mr. JOEMEL JAY MEDIAVILLA BALOYO PMHNP-BC
289 OLMSTED BLVD STE 1
PINEHURST, NC 28374-8730
Phone number: 910-295-8420
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Mailing Address
Mr. JOEMEL JAY MEDIAVILLA BALOYO PMHNP-BC
425 APRICOT LN
CARTHAGE, NC 28327-0225
Phone number: 309-513-1459
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