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1174174866
DIANE GARRIS
CONCORD, NC
NPI
1174174866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: NC 279402)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
DIANE GARRIS
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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Mailing Address
DIANE GARRIS
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
Copy
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