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1053567065
FRED SAMUEL JUSTICE
FLAT ROCK, NC
NPI
1053567065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: NC 359055)
Enumeration Date
2008-08-10
Last Update Date
2008-08-10
Business Address
MR. FRED SAMUEL JUSTICE
2185 DEEP GAP RD
FLAT ROCK, NC 28731-5716
Phone number: 828-685-8530
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Mailing Address
MR. FRED SAMUEL JUSTICE
2185 DEEP GAP RD
FLAT ROCK, NC 28731-5716
Phone number: 828-685-8530
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