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1376507699
MARY ALICE BOULWARE
CHARLOTTE, NC
NPI
1376507699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5003612)
Enumeration Date
2006-04-13
Last Update Date
2024-07-15
Business Address
MARY ALICE BOULWARE NP
1001 BLYTHE BLVD MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203-5866
Phone number: 704-381-8840
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Mailing Address
MARY ALICE BOULWARE NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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