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Individual

TYWAN BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2505 VETERAN LN APT 3220, CHARLOTTE, NC 28205-1980
(803) 457-1610
Mailing address
2505 VETERAN LN APT 3220, CHARLOTTE, NC 28205-1980

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary

Other

Enumeration date
12/13/2022
Last updated
12/13/2022
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