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Individual

MR. CAL SAMUEL CHUDE FENATUORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
7 SMOKY RIVER CT, #BOX 15001, DURHAM, NC 27704-4809
(919) 408-6114
(919) 408-6114
Mailing address
7 SMOKY RIVER CT, 7 SMOKEYRIVER COURT, DURHAM, NC 27704-4809
(919) 408-6114
(919) 408-6114

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5666760
NC

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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