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1437769080
JERRELL PARKER
RALEIGH, NC
NPI
1437769080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A4596)
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
Mr. JERRELL PARKER
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
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Mailing Address
Mr. JERRELL PARKER
2213 WOODWYCK WAY
RALEIGH, NC 27604-6128
Phone number: 919-884-1335
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