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Individual

MS. MARLOU BETH MATEO CABALUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
10905 PROVIDENCE RD W STE G200, CHARLOTTE, NC 28277-1538
(980) 488-4900
(980) 488-4905
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170859
VA
363L00000X
Nurse Practitioner
Primary
5010642
NC

Other

Enumeration date
07/25/2013
Last updated
11/20/2024
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