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Individual

MRS. BERNADETTE CONLIN OHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
123 HENDERSON DR, JACKSONVILLE, NC 28540-5601
(910) 938-2004
(910) 938-2018
Mailing address
PO BOX 752, JACKSONVILLE, NC 28541-0752
(910) 938-2004
(910) 938-2018

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2137
NC

Other

Enumeration date
01/19/2011
Last updated
01/19/2011
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