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1629552567
MARY THERESE PHELAN
RALEIGH, NC
NPI
1629552567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5010958)
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
MARY THERESE PHELAN FNP
815 OBERLIN RD
RALEIGH, NC 27605-1300
Phone number: 919-322-4722
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Mailing Address
MARY THERESE PHELAN FNP
9318 LENNOX LAUREL CIR
RALEIGH, NC 27617-2068
Phone number: 919-924-4171
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