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1356829782
MEREDITH A MICKALIS
CHARLOTTE, NC
NPI
1356829782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P16)
Enumeration Date
2018-07-28
Last Update Date
2018-07-28
Business Address
MEREDITH A MICKALIS
9131 BENFIELD RD
CHARLOTTE, NC 28269-8791
Phone number: 704-461-0073
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Mailing Address
MEREDITH A MICKALIS
1440 HARDING PL APT 455
CHARLOTTE, NC 28204-0041
Phone number: 843-478-9629
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