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1407460777
GRACE ALEXANDRA TEDDER
WINSTON SALEM, NC
NPI
1407460777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
GRACE ALEXANDRA TEDDER
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110-0003
Phone number: 336-750-2000
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Mailing Address
GRACE ALEXANDRA TEDDER
133 RIVER HILL DR
ADVANCE, NC 27006-9599
Phone number: 336-529-9602
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