According to police, the crash happened around 4:30 p.m. Thursday.
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Officers said the woman, driving a Toyota Avalon, turned into the path of a Ford pickup that was driving on Ten Ten Road.
Firefighters had to cut the roof off of the crumpled vehicle to extract the driver. She was taken to the hospital with what police described as life-threatening injuries.
She later died from her injuries. Cary Police identified her as Janice Sanders-Portier, of Garner.
The driver of the pickup, a 38-year-old Sanford man, was not injured.
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Ten Ten Road was closed while police investigated.
No charges will be filed in this case, police said.