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1356337166
LAURA WILSON BRACK
CHARLOTTE, NC
NPI
1356337166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 940076)
Enumeration Date
2005-09-27
Last Update Date
2024-07-15
Business Address
LAURA WILSON BRACK NP
2001 VAIL AVE STE 360
CHARLOTTE, NC 28207-1248
Phone number: 704-304-1160
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Mailing Address
LAURA WILSON BRACK NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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