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1316183411
EVELYN DENISE BLUE
FAYETTEVILLE, NC
NPI
1316183411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 1999)
Enumeration Date
2008-12-20
Last Update Date
2008-12-20
Business Address
-- EVELYN DENISE BLUE
1601 PURDUE DR
FAYETTEVILLE, NC 28304-3674
Phone number: 910-672-0061
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Mailing Address
-- EVELYN DENISE BLUE
1601 PURDUE DR
FAYETTEVILLE, NC 28304-3674
Phone number: 910-672-0061
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