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1194026740
BRUCE GILLIARD
FAYETTEVILLE, NC
NPI
1194026740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P9404)
Enumeration Date
2010-11-13
Last Update Date
2010-11-13
Business Address
BRUCE GILLIARD PT
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-6195
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Mailing Address
BRUCE GILLIARD PT
8709 GROUSE RUN LN
FAYETTEVILLE, NC 28314-6076
Phone number: 910-551-3585
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