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Individual

JENNIFER LYNN GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700A PROGRESS PL, LAURINBURG, NC 28352-5545
(910) 276-6767
Mailing address
PO BOX 3506, PEMBROKE, NC 28372-3506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00512
NC
363A00000X
Physician Assistant
2716
SC

Other

Enumeration date
03/14/2007
Last updated
03/29/2022
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