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1114596939
JEREMY NEIL SOSSAMON
MORGANTON, NC
NPI
1114596939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5272)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
JEREMY NEIL SOSSAMON
141 FIDDLERS RUN BLVD
MORGANTON, NC 28655-0095
Phone number: 828-580-6450
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Mailing Address
JEREMY NEIL SOSSAMON
100 SEQUOYAH CIR
MORGANTON, NC 28655-6824
Phone number: 828-493-6388
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