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1568926269
SHERENE FAWZY BANAWAN
HUNTERSVILLE, NC
NPI
1568926269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-08726)
Enumeration Date
2019-01-27
Last Update Date
2019-01-27
Business Address
SHERENE FAWZY BANAWAN PA-C
9801 KINCEY AVE
HUNTERSVILLE, NC 28078-3110
Phone number: 704-947-6597
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Mailing Address
SHERENE FAWZY BANAWAN PA-C
13108 PURPLE DAWN DR
CHARLOTTE, NC 28213-3905
Phone number: 704-293-6482
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