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1598363541
WALTER CARL CREDLE
CONCORD, NC
NPI
1598363541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10976)
Enumeration Date
2020-10-13
Last Update Date
2021-03-17
Business Address
Mr. WALTER CARL CREDLE
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1838
Phone number: 704-237-4240
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Mailing Address
Mr. WALTER CARL CREDLE
490 WAKE ROBIN LN
BOONE, NC 28607-6934
Phone number:
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