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1811466642
TALISA S DORSEY
WINSTON SALEM, NC
NPI
1811466642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
Mrs. TALISA S DORSEY COTA/L
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106-3216
Phone number: 919-454-6265
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Mailing Address
Mrs. TALISA S DORSEY COTA/L
6623 GENTRY CIRCLE. APT 301
CLEMMONS, NC 27012
Phone number: 919-454-6265
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