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1912574765
TAMMY BACCUS
FUQUAY VARINA, NC
NPI
1912574765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 3943)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
TAMMY BACCUS PTA, DOR
1221 BROAD ST
FUQUAY VARINA, NC 27526-3602
Phone number: 919-424-5080
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Mailing Address
TAMMY BACCUS PTA, DOR
103 BERMUDA GREEN DR
DURHAM, NC 27703-2921
Phone number: 980-267-2559
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