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1104803998
ANN MICHELLE MOULTON
CHARLOTTE, NC
NPI
1104803998
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Former Name
ANN MICHELLE SACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 201144)
Enumeration Date
2005-12-22
Last Update Date
2012-04-04
Business Address
Ms. ANN MICHELLE MOULTON FNP
2015 RANDOLPH RD SUITE 208
CHARLOTTE, NC 28207-1128
Phone number: 704-377-4009
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Mailing Address
Ms. ANN MICHELLE MOULTON FNP
PO BOX 497
HUNTERSVILLE, NC 28070-0497
Phone number: 704-377-4009
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