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1770926925
ESSAM MOUTA
CHARLOTTE, NC
NPI
1770926925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 23041)
Enumeration Date
2013-04-08
Last Update Date
2013-04-08
Business Address
Mr. ESSAM MOUTA
5811 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269-1128
Phone number: 704-948-0235
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Mailing Address
Mr. ESSAM MOUTA
5811 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269-1128
Phone number: 704-948-0235
Copy
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