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NPI Profile for LATONYA L AGARD in FUQUAY VARINA, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1831963859 |
|
| Status | Active | |
| Credentials | NC FBPPC | |
| Entity | Individual | |
| Enumeration date | 11/09/2023 | |
| Last updated | 11/09/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LATONYA L AGARD
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LATONYA L AGARD, NC FBPPC