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1811193659
ROBERT WILEY BRABHAM
GASTONIA, NC
NPI
1811193659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 2997)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- ROBERT WILEY BRABHAM PTA
2300 ABERDEEN BLVD
GASTONIA, NC 28054-0613
Phone number: 704-834-3037
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Mailing Address
-- ROBERT WILEY BRABHAM PTA
1135 LARKSPUR LN
DALLAS, NC 28034-9357
Phone number: 704-923-0071
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