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1376164061
MICHAELA ANTJE SQUIRE
CHAPEL HILL, NC
NPI
1376164061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 261938)
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
MICHAELA ANTJE SQUIRE DO
1512 E FRANKLIN ST STE 100
CHAPEL HILL, NC 27514-2816
Phone number: 984-974-6669
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Mailing Address
MICHAELA ANTJE SQUIRE DO
PEDIATRIC EDUCATION OFFICE CB 7593
CHAPEL HILL, NC 27599-7593
Phone number: 919-966-3172
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