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1942821152
LATARA K CRADDOCK
WINSTON SALEM, NC
NPI
1942821152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013213)
Enumeration Date
2020-04-28
Last Update Date
2024-04-26
Business Address
Mrs. LATARA K CRADDOCK FNP-BC
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127-5655
Phone number: 336-200-7020
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Mailing Address
Mrs. LATARA K CRADDOCK FNP-BC
PO BOX 746724
ATLANTA, GA 30374-6724
Phone number: 312-644-3941
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