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1689384901
VANESSA LEE PETHEL
CHARLOTTE, NC
NPI
1689384901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5017561)
Enumeration Date
2022-11-28
Last Update Date
2023-12-29
Business Address
VANESSA LEE PETHEL
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262-9785
Phone number: 704-547-9739
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Mailing Address
VANESSA LEE PETHEL
579 ODELL SCHOOL RD
CONCORD, NC 28027-9769
Phone number:
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