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1346237286
THERESA C. FOGARTY
GASTONIA, NC
NPI
1346237286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101807)
Enumeration Date
2005-10-05
Last Update Date
2010-08-12
Business Address
-- THERESA C. FOGARTY PA-C
1225 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-865-7416
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Mailing Address
-- THERESA C. FOGARTY PA-C
1225 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-865-7416
Copy
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