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1215696166
ALEXANDER DMITRY BORDEN
RALEIGH, NC
NPI
1215696166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A7272)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
ALEXANDER DMITRY BORDEN PTA
11081 FOREST PINES DR STE 112
RALEIGH, NC 27614-7656
Phone number: 919-348-5719
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Mailing Address
ALEXANDER DMITRY BORDEN PTA
4217 AVENT FERRY RD APT 1
RALEIGH, NC 27606-4812
Phone number: 984-244-4954
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