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1174886287
CHARLES BRADLEY MERRILL
RALEIGH, NC
NPI
1174886287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A4559)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Mr. CHARLES BRADLEY MERRILL PTA
5117 BRIDLINGTON LN
RALEIGH, NC 27612-3422
Phone number: 919-896-6160
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Mailing Address
Mr. CHARLES BRADLEY MERRILL PTA
5117 BRIDLINGTON LN
RALEIGH, NC 27612-3422
Phone number: 919-896-6160
Copy
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