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1932459245
OLISA KINGSLEY OBI
CHARLOTTE, NC
NPI
1932459245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04656)
Enumeration Date
2012-09-13
Last Update Date
2024-07-15
Business Address
OLISA KINGSLEY OBI PA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-2171
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Mailing Address
OLISA KINGSLEY OBI PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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