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1487950077
MARY ELLEN HADDOCK
AYDEN, NC
NPI
1487950077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: NC CFTS1166)
Enumeration Date
2011-01-31
Last Update Date
2011-01-31
Business Address
-- MARY ELLEN HADDOCK CFTS
131 THIRD STREET
AYDEN, NC 28513-7252
Phone number: 252-746-3492
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Mailing Address
-- MARY ELLEN HADDOCK CFTS
131 THIRD STREET
AYDEN, NC 28513-7252
Phone number: 252-746-3492
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