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1508839226
TONYA MAE FRASER
CHARLOTTE, NC
NPI
1508839226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 103456)
Enumeration Date
2006-02-13
Last Update Date
2008-03-03
Business Address
-- TONYA MAE FRASER PAC
11304 HAWTHORNE DRIVE SUITE 100
CHARLOTTE, NC 28227
Phone number: 704-384-8760
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Mailing Address
-- TONYA MAE FRASER PAC
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-8760
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