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1386207009
REBECCA LANE
GASTONIA, NC
NPI
1386207009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 2023-00871)
Enumeration Date
2019-04-18
Last Update Date
2023-09-30
Business Address
REBECCA LANE
1225 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-865-7416
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Mailing Address
REBECCA LANE
PO BOX 744786
ATLANTA, GA 30374-4786
Phone number: 704-834-2450
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