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1760146724
MIOSOTIS AYMEE RIDLEY
STATESVILLE, NC
NPI
1760146724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5015269)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
MIOSOTIS AYMEE RIDLEY
1404 FERN CREEK DR
STATESVILLE, NC 28625-9376
Phone number: 704-978-4025
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Mailing Address
MIOSOTIS AYMEE RIDLEY
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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