Individual
GWEN MARIE COMPTON WEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3-1947 MALVESTI ROAD, POPE AFB, NC 28308
(910) 243-0504
Mailing address
31 UNION CIR, LILLINGTON, NC 27546-6288
(910) 814-2616
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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