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Individual

KRISTINA LEIGH GURGANIOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
(252) 353-7923
Mailing address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
(252) 353-7923

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158210
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876000308007
UT
Enumeration date
04/04/2008
Last updated
02/12/2024
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