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1790737351
MARY KAY BENZ
CHARLOTTE, NC
NPI
1790737351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 022180)
Enumeration Date
2006-05-16
Last Update Date
2008-09-19
Business Address
-- MARY KAY BENZ CRNA
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-4239
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Mailing Address
-- MARY KAY BENZ CRNA
PO BOX 65849
CHARLOTTE, NC 28265-0849
Phone number:
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