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NPI Code Detail

MEDICARE: MARY ANN KARLOK LMBT

MEDICARE:   MARY ANN KARLOK  LMBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist4297NC

General Provider Information

NPI Number : 1306276977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANN KARLOK LMBT
Provider Business Mailing Address
First Line : 227 N SPRING ST
Second Line : APT A
City : GREENSBORO
State : NC
Zip : 27401-6074
Country : US
Telephone Number : 336-327-3217
Fax Number :
Provider Business Practice Location Address
First Line : 227 N SPRING ST
Second Line : APT A
City : GREENSBORO
State : NC
Zip : 27401-6074
Country : US
Telephone Number : 336-327-3217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 11/19/2013

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Directions to “ MARY ANN KARLOK LMBT” Practice Location

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