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1326273145
JO ANNE BAUCOM
CHARLOTTE, NC
NPI
1326273145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 241)
Enumeration Date
2009-05-22
Last Update Date
2009-05-22
Business Address
-- JO ANNE BAUCOM LPTA
5114 PROVIDENCE RD
CHARLOTTE, NC 28226-5852
Phone number: 704-364-2485
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Mailing Address
-- JO ANNE BAUCOM LPTA
5114 PROVIDENCE RD
CHARLOTTE, NC 28226-5852
Phone number: 919-424-5080
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