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1710276738
MARINA V BUSOVA
CHARLOTTE, NC
NPI
1710276738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 4452)
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
Ms. MARINA V BUSOVA PTA
5100 SHARON RD
CHARLOTTE, NC 28210-4768
Phone number: 704-554-4818
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Mailing Address
Ms. MARINA V BUSOVA PTA
1136 BRIARMORE DR
INDIAN TRAIL, NC 28079-5111
Phone number: 704-763-0688
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