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1942236104
KATRINA NICOLE BACALIS
CHARLOTTE, NC
NPI
1942236104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103129)
Enumeration Date
2006-06-22
Last Update Date
2024-07-15
Business Address
KATRINA NICOLE BACALIS PA
1001 BLYTHE BLVD MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203-5866
Phone number: 704-381-8840
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Mailing Address
KATRINA NICOLE BACALIS PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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