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1891898268
MARK LEE DUFAULT
RALEIGH, NC
NPI
1891898268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 6231)
Enumeration Date
2006-09-07
Last Update Date
2017-12-12
Business Address
Mr. MARK LEE DUFAULT PT
3001 EDWARDS MILL RD # 200
RALEIGH, NC 27612-5243
Phone number: 919-863-6872
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Mailing Address
Mr. MARK LEE DUFAULT PT
3001 EDWARDS MILL RD # 200
RALEIGH, NC 27612-5243
Phone number: 919-863-6872
Copy
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