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1447307384
GRACE PEDIATRIC CLINIC, P.A.
CHARLOTTE, NC
NPI
1447307384
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Entity Type
Organization
Authorized Contact
JULIUS TOKUNBOH
Medical Director
709-409-3000
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 9800405)
Enumeration Date
2007-01-04
Last Update Date
2020-08-22
Business Address
GRACE PEDIATRIC CLINIC, P.A.
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208-4058
Phone number: 704-409-3000
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Mailing Address
GRACE PEDIATRIC CLINIC, P.A.
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208-4058
Phone number: 704-409-3000
Copy
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