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Individual

DEBRA JACKSON SAFRIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
2664 COURT DRIVE, SUITE A, GASTONIA, NC 28054-1449
(704) 861-9030
(704) 833-1234
Mailing address
2664 COURT DRIVE, SUITE A, GASTONIA, NC 28054-1449
(704) 861-9030
(704) 833-1234

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201734
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000947
NC
Enumeration date
11/07/2005
Last updated
07/08/2007
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