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1831732197
SPROUTS PEDIATRIC CLINIC, LLC
JACKSONVILLE, NC
NPI
1831732197
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Entity Type
Organization
Authorized Contact
KILEY THROOP
Occupational Therapist / Owner
206-653-6090
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
SPROUTS PEDIATRIC CLINIC, LLC
200 VALENCIA DR STE 160
JACKSONVILLE, NC 28546-6315
Phone number: 206-653-6090
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Mailing Address
SPROUTS PEDIATRIC CLINIC, LLC
301 LONDON BERRY LN
JACKSONVILLE, NC 28540-4243
Phone number: 206-653-6090
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