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Gwendolyn De Leon

NPI 1083405773 · on the registry since 2025 · sole proprietor

Practice

Address: 205 Roadrunner Blvd
La Fayette, GA 30728
Phone: (706) 638-4664
Organisation at this address: United Rehab Inc
Pruitthealth - Lafayette, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Rehabilitation Registered Nurse
163WR0400X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia