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Individual

ISATTA NDURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
652 E MONMOUTH ST, WINSTON SALEM, NC 27107-3227
(336) 718-4380
(336) 718-4369
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-4390
(336) 718-4399

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14399
NC

Other

Enumeration date
07/25/2024
Last updated
08/12/2025
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