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1831680164
GINA ELIZABETH BASCOMB
RALEIGH, NC
NPI
1831680164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P19676)
Enumeration Date
2018-05-22
Last Update Date
2024-11-06
Business Address
Mrs. GINA ELIZABETH BASCOMB DPT
11200 GALLERIA AVE STE 100
RALEIGH, NC 27614-8137
Phone number: 919-570-7746
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Mailing Address
Mrs. GINA ELIZABETH BASCOMB DPT
11200 GALLERIA AVE STE 100
RALEIGH, NC 27614-8137
Phone number: 919-570-7746
Copy
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