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Organization

AGAPE ORTHOTICS OF NC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CIPRIAN PUFULETE CPED (MANAGER)
(910) 574-9804
Entity
Organization

Contact information

Practice address
2139 VALLEYGATE DR STE 101A, FAYETTEVILLE, NC 28304-3666
(910) 574-9804
Mailing address
PO BOX 58296, FAYETTEVILLE, NC 28305-8296
(910) 574-9804

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/05/2021
Last updated
11/20/2024
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