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1063544096
WILLIE NATHANIEL DIXON
WILSON, NC
NPI
1063544096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: NC FCL-098-009)
Enumeration Date
2007-03-13
Last Update Date
2007-07-09
Business Address
MR. WILLIE NATHANIEL DIXON
2817 TILGHMAN RD N
WILSON, NC 27896-8908
Phone number: 252-243-9827
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Mailing Address
MR. WILLIE NATHANIEL DIXON
2817 TILGHMAN RD N
WILSON, NC 27896-8908
Phone number: 252-243-9827
Copy
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