Individual
CHRISTINE DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 MAPLE ST, JACKSONVILLE, NC 28540-4954
(203) 943-1317
Mailing address
414 MAPLE ST, JACKSONVILLE, NC 28540-4954
(203) 943-1317
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
454876
NC
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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