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Individual
ANTIONETTE ROBERSON
Active
Individual
ANTIONETTE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4122570
NC
163WM0705X
Medical-Surgical Registered Nurse
Primary
215257
NC
Other
Enumeration date
11/11/2020
Last updated
11/12/2020
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