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1194079871
BRANDY WILDER
GREENSBORO, NC
NPI
1194079871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2012-11-02
Last Update Date
2012-11-02
Business Address
-- BRANDY WILDER ITFS
2500 N CHURCH ST
GREENSBORO, NC 27405-4314
Phone number: 336-375-2240
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Mailing Address
-- BRANDY WILDER ITFS
2500 N CHURCH ST
GREENSBORO, NC 27405-4314
Phone number: 336-375-2240
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