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1730908799
LOUGENS DESSALINES
CHARLOTTE, NC
NPI
1730908799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 2024071693)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
LOUGENS DESSALINES FNP-BC
10011 PROVIDENCE RD W
CHARLOTTE, NC 28277-1561
Phone number: 980-245-8500
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Mailing Address
LOUGENS DESSALINES FNP-BC
9903 SILVERLING DR
WAXHAW, NC 28173-9834
Phone number: 980-777-4777
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