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1508021270
ANISA CHUN KONG
GASTONIA, NC
NPI
1508021270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 888)
Enumeration Date
2008-07-22
Last Update Date
2019-11-03
Business Address
ANISA CHUN KONG OTR/L, CHT
2230 E FRANKLIN BLVD STE 100
GASTONIA, NC 28054-4983
Phone number: 704-830-6168
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Mailing Address
ANISA CHUN KONG OTR/L, CHT
2230 E FRANKLIN BLVD STE 100
GASTONIA, NC 28054-4983
Phone number: 704-830-6168
Copy
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