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1003049685
LYFES NEW DIRECTION
WINSTON SALEM, NC
NPI
1003049685
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Entity Type
Organization
Authorized Contact
JUDITH A BAGLEY
Organizer
336-721-4261
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC C2009212000082)
Enumeration Date
2009-08-28
Last Update Date
2009-08-28
Business Address
LYFES NEW DIRECTION
1001 S MARSHALL ST # 65
WINSTON SALEM, NC 27101-5852
Phone number: 336-721-4261
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Mailing Address
LYFES NEW DIRECTION
1001 S MARSHALL ST # 65
WINSTON SALEM, NC 27101-5852
Phone number: 336-721-4261
Copy
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