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1750384400
MAXINE BLUE
PEMBROKE, NC
NPI
1750384400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 200016)
Enumeration Date
2005-05-24
Last Update Date
2018-12-13
Business Address
MAXINE BLUE FNP-C
30 THREE HUNTS DR STE E
PEMBROKE, NC 28372-7317
Phone number: 910-735-1234
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Mailing Address
MAXINE BLUE FNP-C
258 LOWE RD
LUMBERTON, NC 28360-5387
Phone number: 910-735-1234
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