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1285640359
WAQUITA NICOLE LANE
ROANOKE RAPIDS, NC
NPI
1285640359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 9952)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Ms. WAQUITA NICOLE LANE MPT
2413 PROFESSIONAL DR
ROANOKE RAPIDS, NC 27870-3221
Phone number: 252-535-3028
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Mailing Address
Ms. WAQUITA NICOLE LANE MPT
PO BOX 92
HALIFAX, NC 27839-0092
Phone number: 252-583-3681
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