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1194145813
GIVENCHY MANZANO
CHARLOTTE, NC
NPI
1194145813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NC 2020-00306)
Enumeration Date
2014-04-21
Last Update Date
2021-11-30
Business Address
GIVENCHY MANZANO MD
1025 MOREHEAD MEDICAL DR STE 300
CHARLOTTE, NC 28204-2963
Phone number: 704-355-5982
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Mailing Address
GIVENCHY MANZANO MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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