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1760640841
MILLICENT CALENA JENNETTE
FAYETTEVILLE, NC
NPI
1760640841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103905)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
Ms. MILLICENT CALENA JENNETTE PA-C
2035 VALLEYGATE DR SUITE 101
FAYETTEVILLE, NC 28304-3984
Phone number: 910-484-8009
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Mailing Address
Ms. MILLICENT CALENA JENNETTE PA-C
2035 VALLEYGATE DR SUITE 101
FAYETTEVILLE, NC 28304-3984
Phone number: 910-484-8009
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