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1023193505
JACKIE B PACE
CONCORD, NC
NPI
1023193505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 201582)
Enumeration Date
2006-10-25
Last Update Date
2024-07-15
Business Address
JACKIE B PACE FNP
349 PENNY LN
CONCORD, NC 28025-1221
Phone number: 704-786-7158
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Mailing Address
JACKIE B PACE FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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