Individual
LINDA BOWLAND DAGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
3017 BEATY RD, GASTONIA, NC 28056-9381
(704) 865-3897
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22809
NC
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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