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1154380798
REBECCA S TAT
GREENSBORO, NC
NPI
1154380798
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Former Name
REBECCA S HAUSER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC 200400606)
Enumeration Date
2006-03-22
Last Update Date
2021-09-17
Business Address
REBECCA S TAT DO
301 E WENDOVER AVE
GREENSBORO, NC 27401-1230
Phone number: 336-547-1790
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Mailing Address
REBECCA S TAT DO
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-7000
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