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1891701306
DIANE G WASSUM
CHARLOTTE, NC
NPI
1891701306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 1602)
Enumeration Date
2006-08-01
Last Update Date
2007-07-09
Business Address
-- DIANE G WASSUM PT
101 E WT HARRIS BLVD SUITE 300
CHARLOTTE, NC 28262-3485
Phone number: 704-548-5780
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Mailing Address
-- DIANE G WASSUM PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4370
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