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1700150273
WINNIE L MIKKELSON
SALISBURY, NC
NPI
1700150273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 7843)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- WINNIE L MIKKELSON LPT
1508 W INNES ST
SALISBURY, NC 28144-2504
Phone number: 704-630-9656
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Mailing Address
-- WINNIE L MIKKELSON LPT
604 ANDERSON AVE
SALISBURY, NC 28144-2940
Phone number: 704-637-9517
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