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1144425919
WANDA FAYE SIMMONS
FAYETTEVILLE, NC
NPI
1144425919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 975)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- WANDA FAYE SIMMONS lpta
1700 PAMALEE DR
FAYETTEVILLE, NC 28303
Phone number: 910-488-2295
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Mailing Address
-- WANDA FAYE SIMMONS lpta
2625 BERMA CT
FAYETTEVILLE, NC 28303
Phone number: 910-778-8661
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