Individual
IRVIN DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GOSSMAN RD, SOUTHERN PINES, NC 28387-2224
(910) 295-2211
Mailing address
470 LONGLEAF DR E, PINEHURST, NC 28374-8016
(910) 295-6684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9513
NC
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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