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1063932473
IVEY THOMPSON
CHARLOTTE, NC
NPI
1063932473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5009602)
Enumeration Date
2017-06-27
Last Update Date
2020-06-08
Business Address
IVEY THOMPSON NP
210 E TRADE ST
CHARLOTTE, NC 28202-2404
Phone number: 704-971-1254
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Mailing Address
IVEY THOMPSON NP
210 E TRADE ST
CHARLOTTE, NC 28202-2404
Phone number:
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