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1194496075
TEQUISA MCPHATTER
GREENSBORO, NC
NPI
1194496075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
TEQUISA MCPHATTER
1015 GLENDALE DR APT 21G
GREENSBORO, NC 27406-6457
Phone number: 336-497-1007
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Mailing Address
TEQUISA MCPHATTER
1015 GLENDALE DR APT 21G
GREENSBORO, NC 27406-6457
Phone number: 336-497-1007
Copy
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