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1023257615
LISA CAMILLE PRUITT RICHARDS
GASTONIA, NC
NPI
1023257615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01622)
Enumeration Date
2009-02-05
Last Update Date
2022-07-21
Business Address
-- LISA CAMILLE PRUITT RICHARDS PA-C
2544 COURT DR STE A
GASTONIA, NC 28054-3450
Phone number: 704-671-6400
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Mailing Address
-- LISA CAMILLE PRUITT RICHARDS PA-C
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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