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1770675027
MARIALICE WAGNER GULLEDGE
CHARLOTTE, NC
NPI
1770675027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5002198)
Enumeration Date
2006-09-28
Last Update Date
2024-07-15
Business Address
MARIALICE WAGNER GULLEDGE NP
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1255
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Mailing Address
MARIALICE WAGNER GULLEDGE NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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