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1093737009
MARY JEAN DETCHEMENDY
CONCORD, NC
NPI
1093737009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 096193)
Enumeration Date
2006-07-25
Last Update Date
2007-07-09
Business Address
-- MARY JEAN DETCHEMENDY CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-783-4235
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Mailing Address
-- MARY JEAN DETCHEMENDY CRNA
102 HARBORGATE CT
CORNELIUS, NC 28031-5000
Phone number: 704-892-8372
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