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Individual

BENITA LAFORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTED NURSE

Contact information

Practice address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3800
Mailing address
678 LEE WEBB RD, LAKE WACCAMAW, NC 28450-9222
(910) 872-3588

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
277268
NC

Other

Enumeration date
03/06/2017
Last updated
03/06/2017
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