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1740711076
JOHN PASCHAL LICATA
CHARLOTTE, NC
NPI
1740711076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2020-00623)
Enumeration Date
2017-03-27
Last Update Date
2023-05-04
Business Address
JOHN PASCHAL LICATA MD
13640 STEELECROFT PKWY STE 210
CHARLOTTE, NC 28278-7565
Phone number: 704-512-6100
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Mailing Address
JOHN PASCHAL LICATA MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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