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1790029304
GENIA RENAE LOCKLEAR
PEMBROKE, NC
NPI
1790029304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: NC CFTS 7713)
Enumeration Date
2012-11-20
Last Update Date
2014-07-14
Business Address
Mrs. GENIA RENAE LOCKLEAR CFTs
407 W 3RD ST
PEMBROKE, NC 28372-7977
Phone number: 910-521-5600
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Mailing Address
Mrs. GENIA RENAE LOCKLEAR CFTs
407 W 3RD ST PO BOX 2639
PEMBROKE, NC 28372-7977
Phone number: 910-521-5600
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