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1346013794
TYQWISHA GWYNN
DURHAM, NC
NPI
1346013794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 16393)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
TYQWISHA GWYNN OTL
2058 SPRING CREEK DR
DURHAM, NC 27704-6110
Phone number: 919-667-5593
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Mailing Address
TYQWISHA GWYNN OTL
110 HORIZON DR STE 310
RALEIGH, NC 27615-4926
Phone number:
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