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Individual

SANDRA SPRUILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
904 NATIONAL DR, GOLDSBORO, NC 27534-8625
(919) 344-8846
(919) 288-2995
Mailing address
411 FOREST DR, GOLDSBORO, NC 27534-3323
(919) 344-8846

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
MHL-096-254
NC
311ZA0620X
Adult Care Home Facility
Primary
MHL-096-255
NC

Other

Enumeration date
07/09/2014
Last updated
09/21/2022
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