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1740026483
SIA SAM-SUMANA
FAYETTEVILLE, NC
NPI
1740026483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5020304)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
SIA SAM-SUMANA
3616 CAPE CENTER DR STE A
FAYETTEVILLE, NC 28304-4456
Phone number: 910-779-0780
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Mailing Address
SIA SAM-SUMANA
29 CASTELLO WAY
CLAYTON, NC 27527-5429
Phone number:
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