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1063950178
KATHERINE ELLENWOOD
GREENSBORO, NC
NPI
1063950178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NC 6180)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
Mrs. KATHERINE ELLENWOOD
3698 COTSWOLD AVE 3C
GREENSBORO, NC 27410-9634
Phone number: 336-402-4292
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Mailing Address
Mrs. KATHERINE ELLENWOOD
3698 COTSWOLD AVE 3C
GREENSBORO, NC 27410-9634
Phone number: 336-402-4292
Copy
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