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1184748857
KRISTINE KAPICAK BLANCO
WINSTON SALEM, NC
NPI
1184748857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 2830)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mrs. KRISTINE KAPICAK BLANCO P.T.
1250 ARBOR RD
WINSTON SALEM, NC 27104-1106
Phone number: 336-724-7921
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Mailing Address
Mrs. KRISTINE KAPICAK BLANCO P.T.
730 SYLVAN RD
WINSTON SALEM, NC 27104-2124
Phone number: 336-724-0826
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