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1144870213
KAITLIN HERZOG
GREENSBORO, NC
NPI
1144870213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P18682)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
KAITLIN HERZOG
319 SMYRES PL
GREENSBORO, NC 27403-1229
Phone number: 336-271-6677
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Mailing Address
KAITLIN HERZOG
405 S MENDENHALL ST APT 2
GREENSBORO, NC 27403-2551
Phone number: 607-244-8529
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