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1104462183
DOREEN MCGAUVRAN
WILMINGTON, NC
NPI
1104462183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6422)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
DOREEN MCGAUVRAN PTA
4610 HOLLY TREE RD
WILMINGTON, NC 28409-8556
Phone number: 910-218-9561
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Mailing Address
DOREEN MCGAUVRAN PTA
212 SAND DOLLAR LN
SOUTHPORT, NC 28461-6101
Phone number:
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