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Individual

MRS. DIANNE PATRICIA SARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4109 MEDOC MOUNTAIN DR, CHARLOTTE, NC 28270-1627
(704) 321-9791
Mailing address
4109 MEDOC MOUNTAIN DR, CHARLOTTE, NC 28270-1627
(704) 321-9791

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A4440
NC

Other

Enumeration date
12/11/2011
Last updated
12/11/2011
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