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1679589865
NATHAN FUNK
GASTONIA, NC
NPI
1679589865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03552)
Enumeration Date
2006-07-31
Last Update Date
2024-07-15
Business Address
NATHAN FUNK PA
1896 REMOUNT RD
GASTONIA, NC 28054-7414
Phone number: 704-512-3930
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Mailing Address
NATHAN FUNK PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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