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1972133049
PHILLIP HERRING
WINSTON SALEM, NC
NPI
1972133049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 12072)
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
PHILLIP HERRING COTA/L
1460 BABCOCK DR
WINSTON SALEM, NC 27106-2632
Phone number: 336-767-8130
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Mailing Address
PHILLIP HERRING COTA/L
433 CROWN POINT CIR NW
CONCORD, NC 28027-1916
Phone number: 980-621-4497
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