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1205317260
HALLIE CHANSON WIETERS
GREENSBORO, NC
NPI
1205317260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08304)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
Miss HALLIE CHANSON WIETERS PA-C
1123 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number: 336-832-4400
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Mailing Address
Miss HALLIE CHANSON WIETERS PA-C
8165 WHITMORE COVE LN
CLEMMONS, NC 27012-8881
Phone number: 336-782-1405
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