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1104351774
WANDA TAYLOR
RALEIGH, NC
NPI
1104351774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: GA PTA000471)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
Mrs. WANDA TAYLOR RPTA
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-861-2441
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Mailing Address
Mrs. WANDA TAYLOR RPTA
4365 ROSWELL DR
MARTINEZ, GA 30907-4504
Phone number: 706-832-2101
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