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Individual

MRS. CECILIA DINKINS WELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1622 E MARION ST, SHELBY, NC 28150-4939
(704) 482-2020
Mailing address
144 BERKSHIRE AVE, BELMONT, NC 28012-3882
(704) 825-1762

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
060558
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050637
NC
Enumeration date
01/02/2007
Last updated
07/08/2007
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