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1619062684
BRIAN MICHAEL BAUCOM
WILMINGTON, NC
NPI
1619062684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10787)
Enumeration Date
2006-10-04
Last Update Date
2009-09-03
Business Address
-- BRIAN MICHAEL BAUCOM DPT
1717 SHIPYARD BLVD SUITE 320
WILMINGTON, NC 28403-8023
Phone number: 910-791-0396
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Mailing Address
-- BRIAN MICHAEL BAUCOM DPT
1717 SHIPYARD BLVD SUITE 320
WILMINGTON, NC 28403-8023
Phone number: 910-791-0396
Copy
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