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1174047070
EOMBA PUNGU
CHARLOTTE, NC
NPI
1174047070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F07171211)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
EOMBA PUNGU FNP
2905 FREEDOM DR
CHARLOTTE, NC 28208-3857
Phone number: 704-394-3033
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Mailing Address
EOMBA PUNGU FNP
6240 EAGLE PEAK DR
CHARLOTTE, NC 28214-2226
Phone number: 704-244-6631
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