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1619629292
NIPHAN PESAYANAVIN
KERNERSVILLE, NC
NPI
1619629292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P6833)
Enumeration Date
2022-01-25
Last Update Date
2022-03-09
Business Address
NIPHAN PESAYANAVIN DPT,PT, LAT,ATC
905 OLD WINSTON RD STE B
KERNERSVILLE, NC 27284-6640
Phone number: 336-992-2787
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Mailing Address
NIPHAN PESAYANAVIN DPT,PT, LAT,ATC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714
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