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1154936003
JACK BRADLEY HAMILTON
CLINTON, NC
NPI
1154936003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: NC CFt2031)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
JACK BRADLEY HAMILTON
408 NORTHEAST BLVD
CLINTON, NC 28328-2434
Phone number: 910-592-2343
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Mailing Address
JACK BRADLEY HAMILTON
408 NORTHEAST BLVD
CLINTON, NC 28328-2434
Phone number: 910-592-2343
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