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CASSIDY SEAN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15 JANE JACOBS RD, BLACK MOUNTAIN, NC 28711-6306
(828) 298-0333
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09122
NC

Other

Enumeration date
06/05/2019
Last updated
11/25/2019
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