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1023167616
LASHAY RAVON SURRATT
WINSTON SALEM, NC
NPI
1023167616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
MR. LASHAY RAVON SURRATT
2000 NORTHCLIFFE DR APT 509
WINSTON SALEM, NC 27106-3350
Phone number: 336-918-4975
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Mailing Address
MR. LASHAY RAVON SURRATT
2000 NORTHCLIFFE DR APT 509
WINSTON SALEM, NC 27106-3350
Phone number: 336-918-4975
Copy
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