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1598264301
LORALYE HENDERSON
GREENVILLE, NC
NPI
1598264301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5010251)
Enumeration Date
2018-02-07
Last Update Date
2022-04-06
Business Address
LORALYE HENDERSON
2325 STANTONSBURG RD
GREENVILLE, NC 27834-7534
Phone number: 252-847-1550
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Mailing Address
LORALYE HENDERSON
2325 STANTONSBURG RD
GREENVILLE, NC 27834-7534
Phone number: 252-624-4782
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