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1063934057
JACKIE POTTER
ARDEN, NC
NPI
1063934057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A3921)
Enumeration Date
2017-07-11
Last Update Date
2017-07-11
Business Address
JACKIE POTTER
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number: 828-681-0904
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Mailing Address
JACKIE POTTER
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number:
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