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1184381659
LATIFAH QUANAH JETER
CHARLOTTE, NC
NPI
1184381659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC JETE-I10SC)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
LATIFAH QUANAH JETER FNP-C
12832 SANDPINES LN
CHARLOTTE, NC 28262-0403
Phone number: 704-930-3145
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Mailing Address
LATIFAH QUANAH JETER FNP-C
12832 SANDPINES LN
CHARLOTTE, NC 28262-0403
Phone number: 704-930-3145
Copy
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