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1831636026
ANNIE LAURIE LEBOUTON
CHARLOTTE, NC
NPI
1831636026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 113614)
Enumeration Date
2017-01-25
Last Update Date
2021-10-14
Business Address
Mrs. ANNIE LAURIE LEBOUTON
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-491-1924
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Mailing Address
Mrs. ANNIE LAURIE LEBOUTON
1415 MAIN ST
CHARLOTTE, NC 28204-3145
Phone number: 225-281-7429
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