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1992554166
LAVINA RAE FAGAN
CHARLOTTE, NC
NPI
1992554166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374J00000X Doula
Enumeration Date
2024-05-18
Last Update Date
2024-05-18
Business Address
LAVINA RAE FAGAN
1914 J N PEASE PL
CHARLOTTE, NC 28262-4504
Phone number: 844-424-7844
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Mailing Address
LAVINA RAE FAGAN
1914 J N PEASE PL
CHARLOTTE, NC 28262-4504
Phone number: 844-424-7844
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