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1932221579
SUSAN LANTZ FORE
PINEHURST, NC
NPI
1932221579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-04
Last Update Date
2007-07-09
Business Address
MRS. SUSAN LANTZ FORE ITFS
10 PARKER LN
PINEHURST, NC 28374-7903
Phone number: 910-295-3133
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Mailing Address
MRS. SUSAN LANTZ FORE ITFS
23703 GILLIS RD
LAUREL HILL, NC 28351-9227
Phone number: 910-277-1273
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