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Individual

MS. ELOISE M DOWTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
303 AQUA MARINE LN, KNIGHTDALE, NC 27545-7870
(919) 349-5540
(919) 255-1775
Mailing address
PO BOX 26153, RALEIGH, NC 27611-6153
(919) 349-5540
(919) 255-1775

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-092-654
NC

Other

Enumeration date
11/12/2007
Last updated
11/12/2007
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