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1780667410
GINA LEE ENEVOLD
WINSTON SALEM, NC
NPI
1780667410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 600063)
Enumeration Date
2005-11-28
Last Update Date
2008-05-07
Business Address
-- GINA LEE ENEVOLD NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- GINA LEE ENEVOLD NP
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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