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Individual

MRS. MONICA LEE GOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8020
(252) 634-6912
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8020
(252) 634-6912

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO 1879
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0440P
BLUE CROSS BLUE SHIELD
NC
05
7795011
NC
Enumeration date
09/09/2008
Last updated
10/28/2009
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