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1154550077
ANDREA MORGAN FORMYDUVAL LEWIS
WILMINGTON, NC
NPI
1154550077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5004417)
Enumeration Date
2009-07-13
Last Update Date
2023-08-14
Business Address
ANDREA MORGAN FORMYDUVAL LEWIS FNP
4005 OLEANDER DR
WILMINGTON, NC 28403-6816
Phone number: 910-790-9949
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Mailing Address
ANDREA MORGAN FORMYDUVAL LEWIS FNP
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-343-0145
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