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1982763306
ANNE THERESA VAILLANCOURT
CHAPEL HILL, NC
NPI
1982763306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100680)
Enumeration Date
2006-12-08
Last Update Date
2016-03-24
Business Address
-- ANNE THERESA VAILLANCOURT PA-C
1728 FORDHAM BLVD 151 RAM'S PLAZA
CHAPEL HILL, NC 27514-2397
Phone number: 919-968-1985
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Mailing Address
-- ANNE THERESA VAILLANCOURT PA-C
PO BOX 63362 151 RAM'S PLAZA
CHARLOTTE, NC 28263-3362
Phone number: 919-620-4918
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