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1710044276
JEFFREY LEE DERRY
BUTNER, NC
NPI
1710044276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 123709)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- JEFFREY LEE DERRY np
OLD HIGHWAY 75 FCI II BUTNER HEALTH SERVICES UNIT
BUTNER, NC 27509-1000
Phone number: 919-575-8000
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Mailing Address
-- JEFFREY LEE DERRY np
109 MEADOW BROOK LN
OXFORD, NC 27565-2870
Phone number: 919-690-1618
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