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Doctors / NC
NURSE PRACTITIONER
Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1528098712
414 E MAIN ST
Durham, NC 277013720
10900 WORLD TRADE BLVD
RALEIGH, NC 276174202
Source: CMS National Downloadable File, September 2026.