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1073041539
TRENT GRAYSON CARTER
KERNERSVILLE, NC
NPI
1073041539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 6264)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
TRENT GRAYSON CARTER PTA
1130D SNOW BRIDGE LN
KERNERSVILLE, NC 27284-8411
Phone number: 133-640-4168
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Mailing Address
TRENT GRAYSON CARTER PTA
714 MADISON PLACE CIR
KERNERSVILLE, NC 27284-7753
Phone number: 336-416-1462
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