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Dashaunda Rutledge

Prosthetic/Orthotic Supplier in Concord, NC. Individual provider (NPI-1).

NPI number1750191821
StatusActive
Last updated in NPPESJan 10, 2025

Details

NPI
1750191821
Entity type
Individual (NPI-1)
Name
Dashaunda Rutledge
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 10, 2025
Certification date
Jan 10, 2025
Last updated
Jan 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

8111 Concord Mills Blvd Ste 671a
Concord, NC 28027-4400

Phone 704-930-3771

Mailing address

6012 Bayfield Pkwy Ste 163
Concord, NC 28027-7597

Phone 937-939-0827

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