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1396979993
TRACE ISAIAH FENDER
ASHEVILLE, NC
NPI
1396979993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC 2010-01727)
Enumeration Date
2009-05-11
Last Update Date
2013-09-03
Business Address
-- TRACE ISAIAH FENDER MD
428 BILTMORE AVE MMA PSYCHIATRIC SERVICES
ASHEVILLE, NC 28801-4502
Phone number: 828-213-4502
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Mailing Address
-- TRACE ISAIAH FENDER MD
PO BOX 602373 MMA PSYCHIATRIC SERVICES
CHARLOTTE, NC 28260-2373
Phone number: 828-250-2833
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