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1326514787
CHRYSTELL LAURA CLUCK
CHARLOTTE, NC
NPI
1326514787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08301)
Enumeration Date
2018-10-23
Last Update Date
2024-10-09
Business Address
Ms. CHRYSTELL LAURA CLUCK PA-C
330 BILLINGSLEY RD STE 205
CHARLOTTE, NC 28211-5020
Phone number: 704-333-9113
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Mailing Address
Ms. CHRYSTELL LAURA CLUCK PA-C
2016 SCOTT AVE
CHARLOTTE, NC 28203-6048
Phone number: 252-917-2563
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