Individual
DEBORAH HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 EAST ROOSEVELT AVE, MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA, WAKE FOREST, NC 27587
(866) 389-2727
(401) 652-9787
Mailing address
9305 GLAMIS CIR, WAKE FOREST, NC 27587-1648
(919) 453-1640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84271
NC
Other
Enumeration date
10/23/2007
Last updated
12/04/2014
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