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1285280313
HOLLY MARIE SHORT
FUQUAY VARINA, NC
NPI
1285280313
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Former Name
HOLLY MARIE KOWANICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5012132)
Enumeration Date
2019-08-14
Last Update Date
2024-09-04
Business Address
HOLLY MARIE SHORT FNP
2400 N MAIN ST
FUQUAY VARINA, NC 27526-8573
Phone number: 919-235-6499
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Mailing Address
HOLLY MARIE SHORT FNP
PO BOX 602195
CHARLOTTE, NC 28260-2195
Phone number: 919-350-0351
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