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1982902136
KRISTEN POWELL BLAKLEY
ADVANCE, NC
NPI
1982902136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10334)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
Mrs. KRISTEN POWELL BLAKLEY P.T.
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006-7867
Phone number: 336-998-6112
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Mailing Address
Mrs. KRISTEN POWELL BLAKLEY P.T.
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006-7867
Phone number: 336-998-6112
Copy
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