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1710172770
JESSICA MACK
CHARLOTTE, NC
NPI
1710172770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: NC 194456)
Enumeration Date
2007-09-12
Last Update Date
2019-06-19
Business Address
JESSICA MACK CNM
1025 MOREHEAD MEDICAL DR SUITE 400
CHARLOTTE, NC 28204-2963
Phone number: 704-446-1700
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Mailing Address
JESSICA MACK CNM
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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