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Individual

JONATHAN SOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-8011
Mailing address
418 LAKESHORE DR, LAKE WACCAMAW, NC 28450-2160
(910) 234-5906

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5013590
NC

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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