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1316308091
CARISSA MARIE POTENTE
GASTONIA, NC
NPI
1316308091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06383)
Enumeration Date
2016-03-09
Last Update Date
2016-08-01
Business Address
Miss CARISSA MARIE POTENTE PA-C
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-2000
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Mailing Address
Miss CARISSA MARIE POTENTE PA-C
3515 SPENCER ST
CHARLOTTE, NC 28205-1243
Phone number: 540-845-6783
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