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1548577232
GIN WEN LOU
WAXHAW, NC
NPI
1548577232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2014-00453)
Enumeration Date
2010-09-02
Last Update Date
2024-12-02
Business Address
GIN WEN LOU
3614 S PROVIDENCE RD STE 200
WAXHAW, NC 28173-6310
Phone number: 704-384-8640
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Mailing Address
GIN WEN LOU
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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