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Individual

JULIA PAIGE GUPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
237 MULBERRY ST, SHALLOTTE, NC 28470-4471
(910) 754-8858
Mailing address
3835 HALIFAX RD, WILMINGTON, NC 28403-4905
(704) 351-7680

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10367
NC

Other

Enumeration date
11/11/2017
Last updated
11/11/2017
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