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1811433345
KAVITA SURA
LILLINGTON, NC
NPI
1811433345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06879)
Enumeration Date
2017-01-08
Last Update Date
2017-01-28
Business Address
-- KAVITA SURA
40 AUTUMN FERN TRL
LILLINGTON, NC 27546-5155
Phone number: 919-995-1436
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Mailing Address
-- KAVITA SURA
40 AUTUMN FERN TRL
LILLINGTON, NC 27546-5155
Phone number:
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