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1922034016
JESSICA JANE AMBROSE
CHARLOTTE, NC
NPI
1922034016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-00912)
Enumeration Date
2006-06-23
Last Update Date
2024-07-19
Business Address
JESSICA JANE AMBROSE PA
10650 PARK RD
CHARLOTTE, NC 28210-8538
Phone number: 704-667-3840
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Mailing Address
JESSICA JANE AMBROSE PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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