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1871712760
MADELINE LEE AVERETT
BREVARD, NC
NPI
1871712760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 3649)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- MADELINE LEE AVERETT PTA
35 ROSMAN HWY
BREVARD, NC 28712-4117
Phone number: 828-966-9036
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Mailing Address
-- MADELINE LEE AVERETT PTA
104 CRANBROOK DR
ARDEN, NC 28704-9603
Phone number: 828-966-9036
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