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1134475213
MARY AUTUMN SCHULTZ
CHARLOTTE, NC
NPI
1134475213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 237142)
Enumeration Date
2012-07-26
Last Update Date
2013-06-12
Business Address
-- MARY AUTUMN SCHULTZ
13845 CONLAN CIR
CHARLOTTE, NC 28277-2705
Phone number: 704-544-2092
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Mailing Address
-- MARY AUTUMN SCHULTZ
14106 CARAWAY WOODS CT
CHARLOTTE, NC 28277-3305
Phone number: 901-413-7388
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