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1740544600
NICOLE SHARON WELLBAUM
MOORESVILLE, NC
NPI
1740544600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 2016-00705)
Enumeration Date
2012-06-26
Last Update Date
2017-09-20
Business Address
Dr. NICOLE SHARON WELLBAUM MD
131 MEDICAL PARK RD STE 102
MOORESVILLE, NC 28117-8523
Phone number: 704-663-1282
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Mailing Address
Dr. NICOLE SHARON WELLBAUM MD
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number:
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