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1588631279
CARROLL FERNSTROM
RALEIGH, NC
NPI
1588631279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 0315)
Enumeration Date
2006-03-02
Last Update Date
2013-09-10
Business Address
-- CARROLL FERNSTROM OT
926 WILLIAMSON DR
RALEIGH, NC 27608-2308
Phone number: 919-696-6691
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Mailing Address
-- CARROLL FERNSTROM OT
926 WILLIAMSON DR
RALEIGH, NC 27608-2308
Phone number: 919-696-6691
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