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1699742940
HENRY MATTHEW DEITERS
FORT BRAGG, NC
NPI
1699742940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P9876)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
-- HENRY MATTHEW DEITERS PT
2817 REILLY RD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-7538
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Mailing Address
-- HENRY MATTHEW DEITERS PT
2817 REILLY RD MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-8922
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