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1700654407
DETTA CONNELLY
GASTONIA, NC
NPI
1700654407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
202K00000X
(Licence: NC 4-6287)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
DETTA CONNELLY Phlebotomist
2348 KINMERE DR
GASTONIA, NC 28056-7812
Phone number: 704-674-4935
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Mailing Address
DETTA CONNELLY Phlebotomist
2348 KINMERE DR
GASTONIA, NC 28056-7812
Phone number: 704-674-4935
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