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1558688010
MARY TRACEY ALYSON KAVANAUGH
HUNTERSVILLE, NC
NPI
1558688010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P9204)
Enumeration Date
2010-04-23
Last Update Date
2024-02-12
Business Address
MARY TRACEY ALYSON KAVANAUGH PT
14330 OAKHILL PARK LN STE 115
HUNTERSVILLE, NC 28078-3479
Phone number: 704-316-1280
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Mailing Address
MARY TRACEY ALYSON KAVANAUGH PT
PO BOX 601791
CHARLOTTE, NC 28260-1791
Phone number: 704-316-1266
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