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1992032296
MICHELLE KIDDER FEGELEY
RALEIGH, NC
NPI
1992032296
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Former Name
MICHELLE KIDDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01978)
Enumeration Date
2009-11-06
Last Update Date
2018-03-17
Business Address
Mrs. MICHELLE KIDDER FEGELEY PA-C
11200 GOVERNOR MANLY WAY STE 309
RALEIGH, NC 27614-7375
Phone number: 919-562-9410
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Mailing Address
Mrs. MICHELLE KIDDER FEGELEY PA-C
PO BOX 1107
WAKE FOREST, NC 27588-1107
Phone number: 919-562-9410
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