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1730140369
CURTIS JOHN FALLON
WILMINGTON, NC
NPI
1730140369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0526)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
Mr. CURTIS JOHN FALLON LAT, ATC
555 HALEYBURTON MEMORIAL PKWY
WILMINGTON, NC 28412-3094
Phone number: 910-790-2360
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Mailing Address
Mr. CURTIS JOHN FALLON LAT, ATC
4828 CORONADO DR
WILMINGTON, NC 28409-8910
Phone number: 910-792-0548
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