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1043473648
NICOLE SUMMERLIN
JACKSONVILLE, NC
NPI
1043473648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 2919)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
-- NICOLE SUMMERLIN PTA
225 WHITE ST
JACKSONVILLE, NC 28546-6351
Phone number: 910-353-7222
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Mailing Address
-- NICOLE SUMMERLIN PTA
387 STOKES GOODING ROAD
KENANSVILLE, NC 28349
Phone number: 910-296-0834
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