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1083729701
NORTHLAKE PEDIATRIC CARE PA
STATESVILLE, NC
NPI
1083729701
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Entity Type
Organization
Authorized Contact
MICHAEL BORJA
Owner
704-871-2323
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-08-20
Last Update Date
2013-05-30
Business Address
NORTHLAKE PEDIATRIC CARE PA
2117 SIMONTON RD SUITE 402
STATESVILLE, NC 28625-8206
Phone number: 704-871-2323
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Mailing Address
NORTHLAKE PEDIATRIC CARE PA
2117 SIMONTON RD SUITE 402
STATESVILLE, NC 28625-8206
Phone number: 704-871-2323
Copy
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