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Individual

MRS. SUSAN N BENWARE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 482-5174
Mailing address
816 MERRY ST, DUNN, NC 28334-2200
(910) 892-2419

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
141696
NC

Other

Enumeration date
06/24/2005
Last updated
07/08/2007
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