Provider Information for 1831142017
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PRISCILLA STERINE BURTON
Sex: Female
NPI: 1831142017
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1831142017 | ||||||||
| Enumeration Date | 2006-05-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1886 CAMERON HILL RD CAMERON, NC 28326-8096 United States Phone: 919-498-3598 | Fax: | ||||||||
| Primary Practice Address | 2300 RAMSEY ST DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER FAYETTEVILLE, NC 28301 United States Phone: 910-488-2120 | Fax:910-482-5099 | ||||||||
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