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1457852410
ELISA SELF
CHARLOTTE, NC
NPI
1457852410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
ELISA SELF CPM
11834 CARMEL LAKES DR
CHARLOTTE, NC 28226-3603
Phone number: 704-497-1215
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Mailing Address
ELISA SELF CPM
11834 CARMEL LAKES DR
CHARLOTTE, NC 28226-3603
Phone number: 704-497-1215
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