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1154947661
MA LOURDES MADERAZO TADLIP
RALEIGH, NC
NPI
1154947661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: NC 11455)
Enumeration Date
2020-06-20
Last Update Date
2020-06-20
Business Address
MA LOURDES MADERAZO TADLIP
616 WADE AVE
RALEIGH, NC 27605-1237
Phone number: 919-828-6251
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Mailing Address
MA LOURDES MADERAZO TADLIP
616 WADE AVE
RALEIGH, NC 27605-1237
Phone number: 919-828-6251
Copy
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