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1780463364
ATHENA MINE VELASQUEZ
HENDERSON, NC
NPI
1780463364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13198)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
ATHENA MINE VELASQUEZ
381 RUIN CREEK RD
HENDERSON, NC 27536-2932
Phone number: 252-430-0666
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Mailing Address
ATHENA MINE VELASQUEZ
381 RUIN CREEK RD
HENDERSON, NC 27536-2932
Phone number:
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