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1205580131
LAKEISHA REYNOLDS
STATESVILLE, NC
NPI
1205580131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NC BARE-COIQM)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
Mrs. LAKEISHA REYNOLDS Nurse Practitioner
160 MORNING DOVE LN
STATESVILLE, NC 28625-2709
Phone number: 704-500-7411
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Mailing Address
Mrs. LAKEISHA REYNOLDS Nurse Practitioner
160 MORNING DOVE LN
STATESVILLE, NC 28625-2709
Phone number: 704-500-7411
Copy
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