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1902251556
TRACY BLACKMON-PAYLOR
FAYETTEVILLE, NC
NPI
1902251556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: NC C100052)
Enumeration Date
2016-05-02
Last Update Date
2016-05-10
Business Address
Mrs. TRACY BLACKMON-PAYLOR
732 DALMORE DR
FAYETTEVILLE, NC 28311-1133
Phone number: 910-494-4968
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Mailing Address
Mrs. TRACY BLACKMON-PAYLOR
125 N REILLY RD
FAYETTEVILLE, NC 28303-2574
Phone number: 910-494-4968
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