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1184393688
CARLY NICOLE PELLERIN
GASTONIA, NC
NPI
1184393688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 13953)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
CARLY NICOLE PELLERIN OTA
2675 COURT DR
GASTONIA, NC 28054-1478
Phone number: 704-824-4999
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Mailing Address
CARLY NICOLE PELLERIN OTA
2675 COURT DR
GASTONIA, NC 28054-1478
Phone number: 704-824-4999
Copy
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