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Individual

MRS. VIRGINIA IRENE CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
646 RIVER HWY, MOORESVILLE, NC 28117-9055
(704) 360-6036
(704) 660-3172
Mailing address
819 MAIN ST STE B, NORTH WILKESBORO, NC 28659-4250
(910) 620-8191

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1593
NC
237700000X
Hearing Instrument Specialist
1699
KS

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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