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1568612240
KIM MARIE BRIDEN
CHARLOTTE, NC
NPI
1568612240
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Former Name
KIM MARIE PAGENDARM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: NC 2395)
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- KIM MARIE BRIDEN P.T.
13805 APPLING LANE
CHARLOTTE, NC 28278
Phone number: 704-504-8307
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Mailing Address
-- KIM MARIE BRIDEN P.T.
3724 NATIONAL DRIVE SUITE 110
RALEIGH, NC 27612
Phone number: 919-781-9565
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