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1669982039
CHRISTIAN MIKESELL
RALEIGH, NC
NPI
1669982039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NC 5009947)
Enumeration Date
2017-10-11
Last Update Date
2024-05-04
Business Address
Mr. CHRISTIAN MIKESELL AGPCNP-BC
10208 CERNY ST STE 210
RALEIGH, NC 27617-7885
Phone number: 919-629-1658
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Mailing Address
Mr. CHRISTIAN MIKESELL AGPCNP-BC
10208 CERNY ST STE 210
RALEIGH, NC 27617-7885
Phone number: 919-629-1658
Copy
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