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1255840385
MARY ST. JOHN
CHARLOTTE, NC
NPI
1255840385
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Former Name
MARY GALLAGHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-07443)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
MARY ST. JOHN MMS, PA-C
1900 SCOTT AVE
CHARLOTTE, NC 28203-6046
Phone number: 704-334-7311
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Mailing Address
MARY ST. JOHN MMS, PA-C
2015 EDGEWATER DR
CHARLOTTE, NC 28210-5328
Phone number:
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