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Individual

ALLAN GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
765 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 738-6071
(910) 738-3002
Mailing address
765 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 738-6071
(910) 738-3002

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8041
NC

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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