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1184236226
ANDREA ROSE CORPUS
CHARLOTTE, NC
NPI
1184236226
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Former Name
ANDREA ROSE MCKINNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10924)
Enumeration Date
2020-08-19
Last Update Date
2021-08-24
Business Address
ANDREA ROSE CORPUS
5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC 28212-8823
Phone number: 980-613-8312
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Mailing Address
ANDREA ROSE CORPUS
7617 GRAYLING CT
CHARLOTTE, NC 28227-1200
Phone number: 423-360-5246
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