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Individual

ASHLAN SABINE VAN CLEEFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1550 FAULK ST, STE 3100, MONROE, NC 28112-5086
(704) 667-3410
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9701178
NC
207RC0000X
Cardiovascular Disease Physician
Primary
9701178
NC

Other

Enumeration date
06/04/2006
Last updated
08/05/2024
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