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1053684860
OPTIMUM HORIZON LLC
CHARLOTTE, NC
NPI
1053684860
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Entity Type
Organization
Authorized Contact
OSAGYEFO A GREENE
Owner
980-721-7785
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
OPTIMUM HORIZON LLC
6412 MALLARD VIEW LN
CHARLOTTE, NC 28269-5121
Phone number: 980-721-7785
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Mailing Address
OPTIMUM HORIZON LLC
6412 MALLARD VIEW LN
CHARLOTTE, NC 28269-5121
Phone number: 980-721-7785
Copy
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