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1134818347
JUDE UPCHURCH
DURHAM, NC
NPI
1134818347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 15658)
Enumeration Date
2023-05-03
Last Update Date
2023-07-13
Business Address
JUDE UPCHURCH COTA/L
3905 UNIVERSITY DR
DURHAM, NC 27707-2517
Phone number: 919-928-0204
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Mailing Address
JUDE UPCHURCH COTA/L
1107 NEW DOVER RD
APEX, NC 27502-7130
Phone number: 919-641-6393
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