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1558548875
LISA GUSHIN D.D.S. P.A.
FAYETTEVILLE, NC
NPI
1558548875
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Entity Type
Organization
Authorized Contact
LISA GUSHIN
President
910-484-1771
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: NC 6908)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
LISA GUSHIN D.D.S. P.A.
203 OWEN DR
FAYETTEVILLE, NC 28304-3409
Phone number: 910-484-1771
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Mailing Address
LISA GUSHIN D.D.S. P.A.
203 OWEN DR
FAYETTEVILLE, NC 28304-3409
Phone number: 910-484-1771
Copy
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