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1417910548
MARK R JELLOUS
GREENSBORO, NC
NPI
1417910548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4781)
Enumeration Date
2006-04-10
Last Update Date
2007-08-03
Business Address
-- MARK R JELLOUS OT
1401 BENJAMIN PKWY
GREENSBORO, NC 27408-4518
Phone number: 336-545-5000
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Mailing Address
-- MARK R JELLOUS OT
PO BOX 38008
GREENSBORO, NC 27438-8008
Phone number: 336-545-5000
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