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Individual

ANNE KLUGO-FETTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
5 LADY DIANA DR, READING, PA 19605-1096
(610) 910-4087

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08558
NC
363A00000X
Physician Assistant
MA052599
PA

Other

Enumeration date
01/26/2006
Last updated
05/26/2021
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