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Organization

PARISE EXQUISITE

Active
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Organization

PARISE EXQUISITE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS PORSCHE EALY (OWNER)
(910) 890-7471
Entity
Organization

Contact information

Practice address
4611 YADKIN RD, FAYETTEVILLE, NC 28303-3423
(910) 890-7471
Mailing address
4611 YADKIN RD, FAYETTEVILLE, NC 28303-3423
(910) 890-7471

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
224P00000X
Prosthetist
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/30/2016
Last updated
01/03/2024
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