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1538623426
KASIE KING MOSS
INDIAN TRAIL, NC
NPI
1538623426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08796)
Enumeration Date
2019-01-25
Last Update Date
2024-07-15
Business Address
KASIE KING MOSS PA
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079-5309
Phone number: 980-993-7100
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Mailing Address
KASIE KING MOSS PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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