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Organization
GROWING CHILD PEDIATRICS
Active
Organization
GROWING CHILD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MOSKO (NURSE PRACTITIONER)
(419) 779-1896
Entity
Organization
Contact information
Practice address
116 E HORTON ST, ZEBULON, NC 27597-2820
(919) 269-2885
(919) 488-1718
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5007449
NC
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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