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Individual

MAURICIO SABOGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
705 SUMMIT CROSSING PL, SUITE 150, GASTONIA, NC 28054-2216
(704) 671-6300
(704) 671-6307
Mailing address
705 SUMMIT CROSSING PL, SUITE 150, GASTONIA, NC 28054-2216
(704) 671-6300
(704) 671-6307

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00667
NC
208000000X
Pediatrics Physician
UO1490
FL

Other

Enumeration date
01/10/2007
Last updated
06/24/2009
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