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1780382978
TIMOTHY BIVENS
JACKSONVILLE, NC
NPI
1780382978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 4174)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
TIMOTHY BIVENS
225 WHITE ST
JACKSONVILLE, NC 28546-6351
Phone number: 910-353-7222
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Mailing Address
TIMOTHY BIVENS
225 WHITE ST
JACKSONVILLE, NC 28546-6351
Phone number: 910-353-7222
Copy
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