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1023376571
REGINA WENSIL BEAMON
RALEIGH, NC
NPI
1023376571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NC 0630)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
Ms. REGINA WENSIL BEAMON COTA/L
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-4310
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Mailing Address
Ms. REGINA WENSIL BEAMON COTA/L
4100 HILTON LAKE RD
KANNAPOLIS, NC 28083-9643
Phone number: 704-932-7785
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