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1699354258
MYA A BURGOON
CHARLOTTE, NC
NPI
1699354258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175M00000X Midwife, Lay
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
MYA A BURGOON
8000 JOHNSON CREEK RD
CHARLOTTE, NC 28215-9403
Phone number: 704-258-8439
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Mailing Address
MYA A BURGOON
8000 JOHNSON CREEK RD
CHARLOTTE, NC 28215-9403
Phone number: 704-258-8439
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