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1124461090
DOROTHY RAVENELL
WAXHAW, NC
NPI
1124461090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 18198)
Enumeration Date
2013-04-10
Last Update Date
2013-04-10
Business Address
-- DOROTHY RAVENELL
8100 SOARING EAGLE LN
WAXHAW, NC 28173-7495
Phone number: 704-843-5853
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Mailing Address
-- DOROTHY RAVENELL
8100 SOARING EAGLE LN
WAXHAW, NC 28173-7495
Phone number:
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