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1255428017
KRISTA MOCKAITIS
CHARLOTTE, NC
NPI
1255428017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5002041)
Enumeration Date
2006-10-05
Last Update Date
2019-02-12
Business Address
KRISTA MOCKAITIS
7800 PROVIDENCE RD SUITE 203
CHARLOTTE, NC 28226-2952
Phone number: 704-512-2610
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Mailing Address
KRISTA MOCKAITIS
7800 PROVIDENCE RD
CHARLOTTE, NC 28226-2952
Phone number:
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