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1548947856
LEANN NICOLE DOMITROVITS
CONCORD, NC
NPI
1548947856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P21939)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
LEANN NICOLE DOMITROVITS
1090 NE GATEWAY CT NE STE 101
CONCORD, NC 28025-2424
Phone number: 704-403-9100
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Mailing Address
LEANN NICOLE DOMITROVITS
4712 MCALPINE LN
CHARLOTTE, NC 28212-8542
Phone number: 928-817-7022
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