EBONIE LANE
Nursing at Park Rd, Charlotte, NC

License number
North Carolina 5008075
Category
Nursing
Type
Acute Care
Address
Address
10628 Park Rd, Charlotte, NC 28210
Phone
(704) 667-1000
(704) 667-7070
(704) 667-7071 (Fax)
National Provider ID: 1972974384
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Ebonie Lane, age 40
605 N Mulberry St, Statesville, NC 28677
(704) 500-6038
Ebonie D Lane
319 Winston Dorm, Chapel Hill, NC 27514

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