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1053374157
DAVID KISHBAUGH
FAYETTEVILLE, NC
NPI
1053374157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NC 9500379)
Enumeration Date
2006-04-10
Last Update Date
2010-02-11
Business Address
-- DAVID KISHBAUGH D.O.
2109 VALLEYGATE DR SUITE 201
FAYETTEVILLE, NC 28304-3571
Phone number: 910-486-8880
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Mailing Address
-- DAVID KISHBAUGH D.O.
PO BOX 41054
FAYETTEVILLE, NC 28309-1054
Phone number: 910-486-8880
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