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1316539729
ELIJAH S VERNON
GASTONIA, NC
NPI
1316539729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5014104)
Enumeration Date
2021-02-07
Last Update Date
2021-02-17
Business Address
Mr. ELIJAH S VERNON FNP-C
612 DOWNEY PL
GASTONIA, NC 28054-3905
Phone number: 704-689-6944
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Mailing Address
Mr. ELIJAH S VERNON FNP-C
612 DOWNEY PL
GASTONIA, NC 28054-3905
Phone number: 704-689-6944
Copy
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