Organization
MORE THAN A CONQUEROR MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA BRIGITTE DEBREAUX (PRESIDENT)
(919) 620-5976
Entity
Organization
Contact information
Practice address
1006 LAMOND AVE, SUITE D, DURHAM, NC 27701-2074
(919) 620-5976
Mailing address
138 SMITH DR, DURHAM, NC 27712-1624
(919) 620-5976
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700483
—
NC
Enumeration date
11/13/2006
Last updated
06/14/2008
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