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Individual

MARIGOLD PACKHEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(336) 908-3462
Mailing address
5500 N WARRENDALE CT, WILMINGTON, NC 28409-4015
(336) 908-3462

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
600076
NC

Other

Enumeration date
01/17/2007
Last updated
01/04/2017
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