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1750592929
MARIAN FORD PERILLO
INDIAN TRAIL, NC
NPI
1750592929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NC 1750)
Enumeration Date
2007-05-26
Last Update Date
2018-05-20
Business Address
Mrs. MARIAN FORD PERILLO PT
6607 MIMOSA ST
INDIAN TRAIL, NC 28079
Phone number: 704-607-9989
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Mailing Address
Mrs. MARIAN FORD PERILLO PT
6607 MIMOSA ST
INDIAN TRAIL, NC 28079-9579
Phone number: 704-607-9989
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