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1801177605
PRENTIS RAE GROSS
NEW BERN, NC
NPI
1801177605
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Former Name
PRENTIS RAE MAULDIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5005290)
Enumeration Date
2011-09-07
Last Update Date
2016-10-26
Business Address
-- PRENTIS RAE GROSS NP
1040 MEDICAL PARK AVE
NEW BERN, NC 28562-5248
Phone number: 252-633-1678
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Mailing Address
-- PRENTIS RAE GROSS NP
PO BOX 12248
NEW BERN, NC 28561-2248
Phone number: 252-636-6222
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