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1265438089
EVA MAE STASSEN
CHARLOTTE, NC
NPI
1265438089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 201604)
Enumeration Date
2005-06-27
Last Update Date
2007-07-08
Business Address
-- EVA MAE STASSEN FNP
3500 MOUNT HOLLY HUNTERSVILLE RD STE 200
CHARLOTTE, NC 28216-8644
Phone number: 704-399-7800
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Mailing Address
-- EVA MAE STASSEN FNP
11216 STONY PATH DR
CHARLOTTE, NC 28214-9287
Phone number: 704-391-2866
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