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1093378390
FANTA GASSAMA
CHARLOTTE, NC
NPI
1093378390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 284465)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
FANTA GASSAMA
8801 J M KEYNES DR STE 230
CHARLOTTE, NC 28262-5514
Phone number: 704-549-1700
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Mailing Address
FANTA GASSAMA
8801 J M KEYNES DR STE 230
CHARLOTTE, NC 28262-5514
Phone number:
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