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1275379059
TIA WACKERHAGEN
CHARLOTTE, NC
NPI
1275379059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 335721)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
TIA WACKERHAGEN RN
3317 RITCH AVE
CHARLOTTE, NC 28206-2009
Phone number: 417-389-9640
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Mailing Address
TIA WACKERHAGEN RN
3317 RITCH AVE
CHARLOTTE, NC 28206-2009
Phone number: 417-389-9640
Copy
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