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Individual

GILLIAN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5004 CATTAIL CV, MONROE, NC 28110-7628
(954) 646-1264
Mailing address
5004 CATTAIL CV, MONROE, NC 28110-7628
(954) 646-1264

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
67216
NC

Other

Enumeration date
03/11/2024
Last updated
03/11/2024
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