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Individual

KEVIN DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
106 MOUNT VISTA RD, DENTON, NC 27239-8793
(336) 859-2181
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1603243
NC

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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