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Individual

APPOLONIA MARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
2094 TUNDRA DR, BURLINGTON, NC 27217-9737
(347) 946-4380

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
290953-1
NY
363LF0000X
Family Nurse Practitioner
Primary
APRN11023422
FL

Other

Enumeration date
11/29/2010
Last updated
08/25/2023
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