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1073627956
LANA MICHELLE OLIVER HAYNES
WILMINGTON, NC
NPI
1073627956
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Former Name
LANA MICHELLE OLIVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001000360)
Enumeration Date
2006-08-18
Last Update Date
2015-12-09
Business Address
LANA MICHELLE OLIVER HAYNES PAC
1717 SHIPYARD BLVD SUITE 100
WILMINGTON, NC 28403-8023
Phone number: 910-794-5355
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Mailing Address
LANA MICHELLE OLIVER HAYNES PAC
1618 STONES EDGE LOOP
WILMINGTON, NC 28405-8449
Phone number: 910-987-1306
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