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Individual

RICHARD GANNOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
413 FELSPAR WAY, CARY, NC 27518-2204
(919) 518-7941
Mailing address
413 FELSPAR WAY, CARY, NC 27518-2204
(919) 518-7941

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900107
NC

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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