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1174293062
COREY LANE GOSNELL
WINSTON SALEM, NC
NPI
1174293062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11711)
Enumeration Date
2021-09-14
Last Update Date
2022-02-03
Business Address
COREY LANE GOSNELL PA-C
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103-6951
Phone number: 336-718-3550
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Mailing Address
COREY LANE GOSNELL PA-C
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-718-3550
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