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Individual

SELENA FAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2129 LAWRENCE CIR, ROCKY MOUNT, NC 27804-6326
(252) 544-3590
Mailing address
PO BOX 4539, ROCKY MOUNT, NC 27803-0539
(252) 544-3590

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A1722
NC

Other

Enumeration date
10/07/2010
Last updated
10/27/2010
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