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1003471103
ANNE MARIE LACKEY GORDON
SHELBY, NC
NPI
1003471103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12193)
Enumeration Date
2019-05-03
Last Update Date
2024-07-15
Business Address
ANNE MARIE LACKEY GORDON PA
709 N DEKALB ST
SHELBY, NC 28150-3911
Phone number: 980-487-2100
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Mailing Address
ANNE MARIE LACKEY GORDON PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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