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Individual

EOMBA PUNGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2905 FREEDOM DR, CHARLOTTE, NC 28208-3857
(704) 394-3033
Mailing address
6240 EAGLE PEAK DR, CHARLOTTE, NC 28214-2226
(704) 244-6631

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07171211
NC

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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