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1710173018
FRED REID NEW
MOORESVILLE, NC
NPI
1710173018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 0050-02175)
Enumeration Date
2007-09-20
Last Update Date
2023-08-15
Business Address
Mr. FRED REID NEW NP
140 GATEWAY BLVD
MOORESVILLE, NC 28117-5540
Phone number: 704-664-9638
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Mailing Address
Mr. FRED REID NEW NP
140 GATEWAY BLVD
MOORESVILLE, NC 28117-5540
Phone number: 704-664-9638
Copy
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