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1942822788
DIVIA L. SMITH
PINEVILLE, NC
NPI
1942822788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA 197065)
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
DIVIA L. SMITH NP
11611 STOCKDALE CT
PINEVILLE, NC 28134-6422
Phone number: 803-487-5918
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Mailing Address
DIVIA L. SMITH NP
11611 STOCKDALE CT
PINEVILLE, NC 28134-6422
Phone number:
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