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1245314418
JENNIFER MOORE MCMULLEN
GASTONIA, NC
NPI
1245314418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 2537)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER MOORE MCMULLEN LPTA
3719 UNION RD
GASTONIA, NC 28056-8044
Phone number: 704-868-8998
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Mailing Address
Mrs. JENNIFER MOORE MCMULLEN LPTA
400 KING JOHN CIR
GASTONIA, NC 28056-9282
Phone number: 704-824-4543
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