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Individual

CHRISTINE GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(910) 250-3925
(919) 212-0475
Mailing address
10 SUNNYBROOK DR, RALEIGH, NC 27610-4049
(919) 250-3925
(919) 212-0475

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200990
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118383
RN
NC
01
200990
FAMILY NP
NC
Enumeration date
05/30/2006
Last updated
04/24/2008
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