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Individual

TATIANA BIDGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
7011 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-7745
(919) 995-5495
Mailing address
204 CHESLEY LN, CHAPEL HILL, NC 27514-1461
(919) 995-5495

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17537
NC

Other

Enumeration date
06/11/2022
Last updated
06/11/2022
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