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1962629253
THEODORE O EKONG
CHARLOTTE, NC
NPI
1962629253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NC 00651)
Enumeration Date
2007-04-19
Last Update Date
2007-07-09
Business Address
-- THEODORE O EKONG
3127 EASTWAY DR STE. 109
CHARLOTTE, NC 28205-5643
Phone number: 704-536-5911
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Mailing Address
-- THEODORE O EKONG
3127 EASTWAY DR STE. 109
CHARLOTTE, NC 28205-5643
Phone number: 704-536-5911
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