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1861464810
TINA PETOK
CHARLOTTE, NC
NPI
1861464810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NC 32417)
Enumeration Date
2006-02-03
Last Update Date
2007-10-02
Business Address
-- TINA PETOK M.D.
8220 UNIVERSITY EXEC PARK DR SUITE 107
CHARLOTTE, NC 28262-3380
Phone number: 704-548-1221
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Mailing Address
-- TINA PETOK M.D.
8220 UNIVERSITY EXEC PARK DR STE 107
CHARLOTTE, NC 28262-3380
Phone number: 704-548-1221
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