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1548494792
LAURA AUTUMN DE LEON
MOORESVILLE, NC
NPI
1548494792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5006144)
Enumeration Date
2009-05-02
Last Update Date
2024-05-08
Business Address
LAURA AUTUMN DE LEON
133 WELTON WAY SUITE C
MOORESVILLE, NC 28117-9163
Phone number: 704-664-2552
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Mailing Address
LAURA AUTUMN DE LEON
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-664-2552
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