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1255575676
JULIE A MISTOVICH
WILMINGTON, NC
NPI
1255575676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 3768)
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
-- JULIE A MISTOVICH PTA
1007 PORTERS NECK RD
WILMINGTON, NC 28411-7383
Phone number: 910-686-6506
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Mailing Address
-- JULIE A MISTOVICH PTA
4144 HEARTHSIDE DR APT. 201
WILMINGTON, NC 28412-8512
Phone number: 330-518-5975
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