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1386970515
MICHAEL ANTON FACKLMANN
CHARLOTTE, NC
NPI
1386970515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: VA 0001206848)
Enumeration Date
2009-10-22
Last Update Date
2009-10-22
Business Address
Mr. MICHAEL ANTON FACKLMANN CRNFA
1001 BLYTHE BLVD SUITE 300
CHARLOTTE, NC 28203-5866
Phone number: 704-373-0212
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Mailing Address
Mr. MICHAEL ANTON FACKLMANN CRNFA
1001 BLYTHE BLVD SUITE 300
CHARLOTTE, NC 28203-5866
Phone number: 704-373-0212
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