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1407352255
JUDITH PRAIRIE
MOORESVILLE, NC
NPI
1407352255
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Former Name
JUDITH ALBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2021-00708)
Enumeration Date
2018-04-02
Last Update Date
2022-01-12
Business Address
JUDITH PRAIRIE MD
653 BLUEFIELD ROAD, STE F
MOORESVILLE, NC 28117
Phone number: 704-360-6480
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Mailing Address
JUDITH PRAIRIE MD
PO BOX 896199
CHARLOTTE, NC 28289-6199
Phone number: 833-936-1364
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