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1578819421
BRIAN STREET
CONCORD, NC
NPI
1578819421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 13701)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
Mr. BRIAN STREET P.T.
15 DORIS CT SE
CONCORD, NC 28025-3823
Phone number: 864-804-3270
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Mailing Address
Mr. BRIAN STREET P.T.
15 DORIS CT SE
CONCORD, NC 28025-3823
Phone number: 864-804-3270
Copy
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