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Individual

VICTORIA BAILEY ROURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9930 KINCEY AVE STE 210, HUNTERSVILLE, NC 28078-6541
(704) 316-5560
(704) 316-5661
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004564
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7005363
NC
Enumeration date
12/10/2009
Last updated
02/02/2022
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