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Individual

KEANNA WOMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
PO BOX 2046, LILLINGTON, NC 27546-2046
(910) 985-2117
Mailing address
PO BOX 2046, LILLINGTON, NC 27546-2046
(910) 985-2117

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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