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1154506772
CLARISSA NICOLE BULATEK
RALEIGH, NC
NPI
1154506772
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Former Name
CLARISSA NICOLE STANTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 12562)
Enumeration Date
2008-01-02
Last Update Date
2012-02-01
Business Address
CLARISSA NICOLE BULATEK D.P.T.
11550 COMMON OAKS DR SUITE 100
RALEIGH, NC 27614-7298
Phone number: 919-453-5740
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Mailing Address
CLARISSA NICOLE BULATEK D.P.T.
120 WILLIAM PENN PLZ
DURHAM, NC 27704-2150
Phone number: 919-220-5255
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