GINA LICAUSE

CHARLOTTE, NC
NPI1699762039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  35695)
Enumeration Date2005-09-30
Last Update Date2021-09-27
Business Address
GINA LICAUSE MD
101 E WT HARRIS BLVD STE 5002
CHARLOTTE, NC 28262-3485
Phone number: 704-801-7310
Mailing Address
GINA LICAUSE MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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