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1396501391
KAITLIN MARIE FAGAN
CHARLOTTE, NC
NPI
1396501391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5019669)
Enumeration Date
2024-02-27
Last Update Date
2024-03-06
Business Address
KAITLIN MARIE FAGAN NP
4100 CARMEL RD
CHARLOTTE, NC 28226-6150
Phone number: 704-542-9210
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Mailing Address
KAITLIN MARIE FAGAN NP
4100 CARMEL RD
CHARLOTTE, NC 28226-6150
Phone number: 704-542-9210
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