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Organization
WILMINGTON HEALTH ACCESS FOR TEENS, INC
Active
Organization
WILMINGTON HEALTH ACCESS FOR TEENS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VAN DE BOVENKAMP CMA (MEDICAL OFFICE ADMINISTRATOR)
(910) 790-9949
Entity
Organization
Contact information
Practice address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9944
(910) 790-9455
Mailing address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9944
(910) 790-9455
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/24/2006
Last updated
10/27/2010
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