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MRS. IRENE LIEBENSPERGER-CAVALL

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1407942196

Individual Registrant:
MRS. IRENE  LIEBENSPERGER-CAVALL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
208 NORTH BROAD STREET  COLUMBIA, NC 27925-9705 US
Tel: 252-796-0689  Fax: 252-796-0690

Contact information for business:
PO BOX 189  COLUMBIA, NC 27925-0189 US
Tel: 252-796-0689  Fax: 252-796-0690

Registration Information:
NPI: 1407942196
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NC61176

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NC - Page 1



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