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1629562301
STEPHEN J INGERSOLL
CHARLOTTE, NC
NPI
1629562301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P17926)
Enumeration Date
2018-06-18
Last Update Date
2020-01-06
Business Address
STEPHEN J INGERSOLL
322 LAMAR AVE STE 101
CHARLOTTE, NC 28204-2436
Phone number: 980-422-8992
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Mailing Address
STEPHEN J INGERSOLL
4215 WATERBURY DR
CHARLOTTE, NC 28209-3044
Phone number: 980-422-8992
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