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1225060288
ELIZABETH BIVENS FAIRCLOTH
WINSTON SALEM, NC
NPI
1225060288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 7669)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
MS. ELIZABETH BIVENS FAIRCLOTH LPT
2828 MAPLEWOOD AVE SUITE A
WINSTON SALEM, NC 27103-4138
Phone number: 336-765-4703
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Mailing Address
MS. ELIZABETH BIVENS FAIRCLOTH LPT
2828 MAPLEWOOD AVE SUITE A
WINSTON SALEM, NC 27103-4138
Phone number: 336-765-4703
Copy
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KINETIC PERFORMANCE AND REHAB LLC