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Individual

JULIE ANNA MANCHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2825
Mailing address
PO BOX 12845, GASTONIA, NC 28052-0017
(704) 864-8772
(704) 866-7853

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050364
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051236
NC
05
NAN479
SC
Enumeration date
07/10/2006
Last updated
09/06/2016
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