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Individual

MRS. DONNA GAYLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(704) 864-8749
Mailing address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(704) 864-8749

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201064
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629020581
NPI
NC
01
S59051
UPIN
NC
Enumeration date
05/17/2006
Last updated
01/25/2019
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