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1447005780
COURTNEY GABRIELLE WISMER
CONCORD, NC
NPI
1447005780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
COURTNEY GABRIELLE WISMER
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-403-3000
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Mailing Address
COURTNEY GABRIELLE WISMER
4605 SARANDON CT
CHARLOTTE, NC 28215-9700
Phone number: 540-645-8480
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