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1891036059
DIANA TONG ROETTING
CHARLOTTE, NC
NPI
1891036059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-04133)
Enumeration Date
2013-03-12
Last Update Date
2014-11-20
Business Address
Mrs. DIANA TONG ROETTING PA-C
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207-1242
Phone number: 704-333-9113
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Mailing Address
Mrs. DIANA TONG ROETTING PA-C
2952 CRAFTSMAN LN
CHARLOTTE, NC 28204-4392
Phone number: 512-296-9112
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