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1629537386
KRYSTAL LEE NEEDHAM
ELIZABETH CITY, NC
NPI
1629537386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5011563)
Enumeration Date
2019-03-13
Last Update Date
2023-12-06
Business Address
KRYSTAL LEE NEEDHAM NP
905 THUNDER RD STE 140
ELIZABETH CITY, NC 27909-7672
Phone number: 252-334-0320
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Mailing Address
KRYSTAL LEE NEEDHAM NP
905 THUNDER RD STE 140
ELIZABETH CITY, NC 27909-7672
Phone number: 252-334-0320
Copy
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