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1013321629
DERWIN SAMUEL ISAIAH
CHARLOTTE, NC
NPI
1013321629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 10304)
Enumeration Date
2014-06-12
Last Update Date
2017-05-08
Business Address
-- DERWIN SAMUEL ISAIAH
1914 BRUNSWICK AVE STE 1B
CHARLOTTE, NC 28207-1891
Phone number: 704-281-6356
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Mailing Address
-- DERWIN SAMUEL ISAIAH
1914 BRUNSWICK AVE STE 1B
CHARLOTTE, NC 28207-1891
Phone number: 704-281-6356
Copy
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