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Individual

MS. ROSALIND ELAINE DOCKERY I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADMINISTRATOR

Contact information

Practice address
17 MOORE ST, 288 6TH. ST., ANDREWS, NC 28901-9633
(828) 321-9501
(828) 321-9501
Mailing address
17 MOORE ST, 288 6TH. ST., ANDREWS, NC 28901-9633
(828) 321-9501
(828) 321-9501

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FCL-020-010
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7803440
NC
05
7804207
NC
Enumeration date
03/31/2007
Last updated
07/09/2007
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