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Individual

JULIA NIEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2409 MURCHISON RD # B, FAYETTEVILLE, NC 28301-3519
(910) 488-4525
Mailing address
PO BOX 2291, BUIES CREEK, NC 27506-2291

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-07571
MEDICAL LICENSE
NC
Enumeration date
08/17/2017
Last updated
03/17/2018
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