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1144406604
DEYANIRA LYNISE HORTON
CHARLOTTE, NC
NPI
1144406604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04933)
Enumeration Date
2008-01-15
Last Update Date
2024-07-15
Business Address
DEYANIRA LYNISE HORTON PA
10620 PARK RD STE 202
CHARLOTTE, NC 28210-8472
Phone number: 704-667-0920
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Mailing Address
DEYANIRA LYNISE HORTON PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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