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1336102516
JOHNNIE WAATAJA
CHARLOTTE, NC
NPI
1336102516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101234)
Enumeration Date
2006-04-10
Last Update Date
2023-12-01
Business Address
JOHNNIE WAATAJA PA-C
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211-1066
Phone number: 704-577-3186
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Mailing Address
JOHNNIE WAATAJA PA-C
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211-1066
Phone number: 704-577-3186
Copy
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