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1295995462
NICHOLE ANN WALTZ
CHARLOTTE, NC
NPI
1295995462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01323)
Enumeration Date
2008-06-11
Last Update Date
2022-12-05
Business Address
NICHOLE ANN WALTZ PA
416 E 36TH ST STE 200
CHARLOTTE, NC 28205-1030
Phone number: 980-302-9800
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Mailing Address
NICHOLE ANN WALTZ PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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