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1972154318
JALYSA GAVIN
GOLDSBORO, NC
NPI
1972154318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012334)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
Mrs. JALYSA GAVIN FNP-C
204 MALLOY ST STE A
GOLDSBORO, NC 27534-4477
Phone number: 919-751-7665
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Mailing Address
Mrs. JALYSA GAVIN FNP-C
2905 OAKWOOD DR
WINTERVILLE, NC 28590-8067
Phone number: 910-441-8652
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