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Individual

JOHN TED ACCEUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3010 NORTHWOOD DR, WINSTON SALEM, NC 27106-3354
(336) 473-6346
Mailing address
3010 NORTHWOOD DR, WINSTON SALEM, NC 27106-3354
(336) 473-6346

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20441
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20441
BMBT
NC
Enumeration date
07/11/2022
Last updated
07/11/2022
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