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Individual

CRYSTAL OVERCASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
300 COPPERFIELD BLVD NE, CONCORD, NC 28025-2428
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260964
NC

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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