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1871934836
GWENDOLYN COLTRANE KING
HENDERSON, NC
NPI
1871934836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 1903)
Enumeration Date
2013-07-07
Last Update Date
2013-07-07
Business Address
-- GWENDOLYN COLTRANE KING PTA
566 RUIN CREEK RD
HENDERSON, NC 27536-2927
Phone number: 252-410-3708
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Mailing Address
-- GWENDOLYN COLTRANE KING PTA
1327 TOLLIE WELDON RD
HENDERSON, NC 27537-9171
Phone number: 252-430-6503
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