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1831944255
DEIDRA PIERCE
FORT LIBERTY, NC
NPI
1831944255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6164)
Enumeration Date
2024-04-19
Last Update Date
2024-04-29
Business Address
DEIDRA PIERCE
2416 KEERANS ST
FORT LIBERTY, NC 28310-8653
Phone number: 336-816-8165
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Mailing Address
DEIDRA PIERCE
1600 SHADY GROVE CHURCH RD
WINSTON SALEM, NC 27107-8653
Phone number:
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