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Individual

MR. EVAN S FRASURE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-2079
(704) 403-1784
Mailing address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-2079
(704) 403-1784

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18854
NC

Other

Enumeration date
12/01/2008
Last updated
12/01/2008
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