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1790055218
GWEN HIRSH TULLIS
LOUISBURG, NC
NPI
1790055218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-01-02
Last Update Date
2012-01-18
Business Address
-- GWEN HIRSH TULLIS LMBT
282 LAKE ROYALE 107 SHOSHONE DRIVE
LOUISBURG, NC 27549-9517
Phone number: 919-616-5839
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Mailing Address
-- GWEN HIRSH TULLIS LMBT
282 LAKE ROYALE 107 SHOSHONE DRIVE
LOUISBURG, NC 27549-9517
Phone number: 919-616-5839
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