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1497155279
KATHRYN ANNE WADE
CHARLESTON, SC
NPI
1497155279
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Former Name
KATHRYN ANNE GONZALEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 2170)
Enumeration Date
2014-08-28
Last Update Date
2019-10-09
Business Address
KATHRYN ANNE WADE PA
2145 HENRY TECKLENBURG DR SUITE 220
CHARLESTON, SC 29414-5893
Phone number: 843-723-8823
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Mailing Address
KATHRYN ANNE WADE PA
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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