COLLINS FOKUM FOMUNUNG

CHARLOTTE, NC
NPI1124414750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  F0215602)
Enumeration Date2015-04-10
Last Update Date2015-04-10
Business Address
-- COLLINS FOKUM FOMUNUNG FNP
6608 E W T HARRIS BLVD STE A
CHARLOTTE, NC 28215-5128
Phone number: 704-900-7761
Mailing Address
-- COLLINS FOKUM FOMUNUNG FNP
430 WHITE WATER FALLS DR APT 611
CHARLOTTE, NC 28217-5257
Phone number: 704-258-2936
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