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Individual

CARRIE B DUDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
603 HEARTWOOD RD, GRIMESLAND, NC 27837-9787
(252) 286-6803
(252) 643-0408
Mailing address
PO BOX 2503, KINSTON, NC 28502-2503
(252) 286-6803

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FLC-074-051
NC

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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