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Individual

MRS. NATHALIE ELIZABETH ORTIZ PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7228 PITTSBORO-MONCURE RD, MONCURE, NC 27559
(919) 542-4991
Mailing address
PO BOX 319, MONCURE, NC 27559-0319
(919) 542-4991

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001003139
NC

Other

Enumeration date
10/11/2011
Last updated
10/11/2011
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