Provider First Line Business Practice Location Address: 
DUKE UNIVERSITY MEDICAL CENTER CLINICAL GENETICS
    Provider Second Line Business Practice Location Address: 
BELL BUILDING, BOX 3528
    Provider Business Practice Location Address City Name: 
DURHAM
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
27710-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
919-684-2036
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/07/2006