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Individual

EDDIE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-2121
Mailing address
2335 D1 VINEYARD DRIVE, 2335 D1 VINEYARD DRIVE, WINTERVILLE, NC 28590
(252) 531-7216

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6043
NC

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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