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1497715742
GINA M FISHBURNE
CORNELIUS, NC
NPI
1497715742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC NC 102864)
Enumeration Date
2006-03-23
Last Update Date
2015-03-25
Business Address
Ms. GINA M FISHBURNE P.A.
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031-6583
Phone number: 704-384-1775
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Mailing Address
Ms. GINA M FISHBURNE P.A.
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-1775
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