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1922608686
TIMOTHY WAYNE UMPHLETT
WINDSOR, NC
NPI
1922608686
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Professional Name
TIM WAYNE UMPHLETT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013703)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
Mr. TIMOTHY WAYNE UMPHLETT Nurse Practitioner
104 RHODES AVE
WINDSOR, NC 27983-9656
Phone number: 252-794-3042
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Mailing Address
Mr. TIMOTHY WAYNE UMPHLETT Nurse Practitioner
PO BOX 628
WINDSOR, NC 27983-0628
Phone number: 252-794-3042
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