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1790150613
KIRSTEN MANCOGNA
GASTONIA, NC
NPI
1790150613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06039)
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
-- KIRSTEN MANCOGNA
1530A UNION ROAD
GASTONIA, NC 28054-2201
Phone number: 704-867-6188
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Mailing Address
-- KIRSTEN MANCOGNA
1530A UNION ROAD
GASTONIA, NC 28054-2201
Phone number: 704-867-6188
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