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1447512074
KELLER EARNST
CHARLOTTE, NC
NPI
1447512074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 17700)
Enumeration Date
2012-06-11
Last Update Date
2014-10-01
Business Address
-- KELLER EARNST FNP
200 PROVIDENCE RD STE 101
CHARLOTTE, NC 28207-1437
Phone number: 704-749-5800
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Mailing Address
-- KELLER EARNST FNP
200 PROVIDENCE RD STE 101
CHARLOTTE, NC 28207-1437
Phone number: 704-749-5800
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