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1952422958
GREGORY CHILDRESS
WINSTON SALEM, NC
NPI
1952422958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NC 683)
Enumeration Date
2007-04-03
Last Update Date
2008-05-22
Business Address
-- GREGORY CHILDRESS
1364 WESTGATE CENTER DR
WINSTON SALEM, NC 27103-2932
Phone number: 336-768-4140
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Mailing Address
-- GREGORY CHILDRESS
1364 WESTGATE CENTER DR
WINSTON SALEM, NC 27103-2932
Phone number: 336-768-4140
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