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1225326259
LAUREL H MOGENSEN
CHARLOTTE, NC
NPI
1225326259
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Former Name
LAUREL A HOLBERTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 13232)
Enumeration Date
2011-07-12
Last Update Date
2013-06-03
Business Address
LAUREL H MOGENSEN PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
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Mailing Address
LAUREL H MOGENSEN PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
Copy
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