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1477104206
BRIAN CLONINGER
RALEIGH, NC
NPI
1477104206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5690)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
BRIAN CLONINGER
3101 DURALEIGH RD
RALEIGH, NC 27612-4189
Phone number: 615-613-1956
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Mailing Address
BRIAN CLONINGER
441 BARNARD CASTLE CT
ROLESVILLE, NC 27571-9716
Phone number: 615-613-1956
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