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1790118289
MARK A HERNDON
FLETCHER, NC
NPI
1790118289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224L00000X Pedorthist
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
-- MARK A HERNDON CPed
3845 HENDERSONVILLE RD
FLETCHER, NC 28732-8241
Phone number: 828-684-1644
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Mailing Address
-- MARK A HERNDON CPed
3845 HENDERSONVILLE RD
FLETCHER, NC 28732-8241
Phone number: 828-684-1644
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