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1508957663
JACQUELINE CARROLL
WILMINGTON, NC
NPI
1508957663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 104116)
Enumeration Date
2006-09-27
Last Update Date
2021-01-20
Business Address
JACQUELINE CARROLL PA
510 CAROLINA BAY DR STE 110
WILMINGTON, NC 28403-2041
Phone number: 910-662-6000
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Mailing Address
JACQUELINE CARROLL PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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