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1356348742
WILDER KEITH LAFOND
ASHEVILLE, NC
NPI
1356348742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2005-06-30
Last Update Date
2009-09-23
Business Address
MR. WILDER KEITH LAFOND CPO
639 BILTMORE AVE
ASHEVILLE, NC 28803-2585
Phone number: 828-254-3392
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Mailing Address
MR. WILDER KEITH LAFOND CPO
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803-2318
Phone number: 828-274-2400
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