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1124311261
MARY JANE VISDA SUAREZ
WINSTON SALEM, NC
NPI
1124311261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10192)
Enumeration Date
2011-05-23
Last Update Date
2011-05-26
Business Address
-- MARY JANE VISDA SUAREZ LPT
3230 REYNOLDA RD
WINSTON SALEM, NC 27106-3040
Phone number: 336-416-1813
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Mailing Address
-- MARY JANE VISDA SUAREZ LPT
3230 REYNOLDA RD
WINSTON SALEM, NC 27106-3040
Phone number: 336-416-1813
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