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1043631310
CHIPPY LAVACHE
HENDERSON, NC
NPI
1043631310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: NC MHL-032-525)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
-- CHIPPY LAVACHE
630 S GARNETT ST
HENDERSON, NC 27536-4509
Phone number: 919-226-3180
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Mailing Address
-- CHIPPY LAVACHE
630 S GARNETT ST
HENDERSON, NC 27536-4509
Phone number: 919-226-3180
Copy
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