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1376570564
LISA KEY MATHIS
STATESVILLE, NC
NPI
1376570564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 0050-00466)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- LISA KEY MATHIS NP
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625-1930
Phone number: 704-838-8240
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Mailing Address
-- LISA KEY MATHIS NP
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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