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Individual

DANITA STORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1216 CAMP GREENE ST, CHARLOTTE, NC 28208-4012
(704) 396-1849
Mailing address
1216 CAMP GREENE ST, CHARLOTTE, NC 28208-4012
(704) 396-1849

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000035095121
NC

Other

Enumeration date
05/12/2023
Last updated
06/01/2023
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