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Individual

CARLTON JEFFREY RAUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5216 LIMOUS LN, PINEVILLE, NC 28134-8902
(716) 908-8977
Mailing address
5216 LIMOUS LN, PINEVILLE, NC 28134-8902
(716) 908-8977

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5023553
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
343656
NYS LICENSE
NY
Enumeration date
10/02/2018
Last updated
12/29/2025
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