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1942776711
TERESA THI PHAN
HUNTERSVILLE, NC
NPI
1942776711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13002)
Enumeration Date
2018-10-19
Last Update Date
2024-07-15
Business Address
TERESA THI PHAN PA
16645 BIRKDALE COMMONS PKWY STE 100
HUNTERSVILLE, NC 28078-5669
Phone number: 704-801-7390
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Mailing Address
TERESA THI PHAN PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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