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1245982891
MARIE KRIDER LIVELY
DENVER, NC
NPI
1245982891
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Former Name
MARIE NICOLE KRIDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 5015657)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
-- MARIE KRIDER LIVELY PNP-PC
635 N NC 16 BUSINESS HWY
DENVER, NC 28037-7574
Phone number: 704-489-8401
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Mailing Address
-- MARIE KRIDER LIVELY PNP-PC
3117 WINDSOR DR
CHARLOTTE, NC 28209-3349
Phone number: 804-212-8870
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