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Individual

IAN FRANK MARC VERHAEGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
331 DEERFIELD ESTATES RD, BOONE, NC 28607-4192
(919) 623-8709
Mailing address
331 DEERFIELD ESTATES RD, BOONE, NC 28607-4192
(919) 623-8709

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
296371
NC
363LF0000X
Family Nurse Practitioner
Primary
5013164
NC

Other

Enumeration date
05/08/2020
Last updated
06/10/2020
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