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1255958245
CARLIE STAFFORD CARLTON
WINSTON SALEM, NC
NPI
1255958245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6581)
Enumeration Date
2020-06-25
Last Update Date
2020-07-02
Business Address
CARLIE STAFFORD CARLTON
2101 HOMESTEAD HILLS DR
WINSTON SALEM, NC 27103-6445
Phone number: 336-744-8942
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Mailing Address
CARLIE STAFFORD CARLTON
2101 HOMESTEAD HILLS DR
WINSTON SALEM, NC 27103-6445
Phone number:
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