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1437159746
MARK THERIAULT
DENVER, NC
NPI
1437159746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NC 2346)
Enumeration Date
2005-07-28
Last Update Date
2010-03-22
Business Address
-- MARK THERIAULT D.C.
1895 N HIGHWAY 16
DENVER, NC 28037-8642
Phone number: 704-489-2273
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Mailing Address
-- MARK THERIAULT D.C.
PO BOX 1375
DENVER, NC 28037-2004
Phone number: 704-489-2273
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