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1912142167
MARIETTA MEDICAL CLINIC, PA
GASTONIA, NC
NPI
1912142167
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Entity Type
Organization
Authorized Contact
IFEANYI O OKAFOR
President
704-866-8030
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 200200150)
Enumeration Date
2008-12-02
Last Update Date
2009-03-12
Business Address
MARIETTA MEDICAL CLINIC, PA
401 S MARIETTA ST
GASTONIA, NC 28052-4331
Phone number: 704-866-8030
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Mailing Address
MARIETTA MEDICAL CLINIC, PA
PO BOX 550457
GASTONIA, NC 28055-0457
Phone number: 704-866-8030
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