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Individual

EMILEE JO RANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0906
(704) 786-1108
(704) 782-1826
Mailing address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0906
(704) 786-1108
(704) 782-1826

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0010-01382
NC
363A00000X
Physician Assistant
Primary
001001382
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8101372
NC
Enumeration date
07/18/2008
Last updated
11/11/2024
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