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Deontrae Spruill
NPI 1538601323 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1033 Shannon St
Elizabeth City, NC 27909 - Phone
- (816) 489-2299
- Organisation at this address
- Cosmiccare
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 343900000X
344600000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina