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Individual

GRANT GOWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7491 MARKET ST STE A, WILMINGTON, NC 28411-9454
(910) 686-5433
Mailing address
7491 MARKET ST STE A, WILMINGTON, NC 28411-9454

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5102
NC

Other

Enumeration date
12/05/2019
Last updated
12/28/2019
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