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1679037071
SARAH SOROOSH VANDERGOOT
CORNELIUS, NC
NPI
1679037071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5011537)
Enumeration Date
2019-01-30
Last Update Date
2020-10-26
Business Address
SARAH SOROOSH VANDERGOOT FNP
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031-6583
Phone number: 704-384-1775
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Mailing Address
SARAH SOROOSH VANDERGOOT FNP
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 844-266-8268
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