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1326035049
CANDACE CHURCHWELL PETREE
GASTONIA, NC
NPI
1326035049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 00300347)
Enumeration Date
2005-09-29
Last Update Date
2010-09-21
Business Address
-- CANDACE CHURCHWELL PETREE PNP-C
705 SUMMIT CROSSING PL
GASTONIA, NC 28054-2216
Phone number: 704-671-6300
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Mailing Address
-- CANDACE CHURCHWELL PETREE PNP-C
705 SUMMIT CROSSING PL
GASTONIA, NC 28054-2216
Phone number: 704-671-6300
Copy
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