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1811578040
GRETHA NGOMA BANDA
CHARLOTTE, NC
NPI
1811578040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 2020129050)
Enumeration Date
2021-04-19
Last Update Date
2024-10-21
Business Address
GRETHA NGOMA BANDA
6133 THE PLZ
CHARLOTTE, NC 28215-2401
Phone number: 704-887-3840
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Mailing Address
GRETHA NGOMA BANDA
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1907
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