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1063925774
PERVIS NASH
CHARLOTTE, NC
NPI
1063925774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NC 2017-4229-01)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
PERVIS NASH
4703 N SHARON AMITY RD APT 2
CHARLOTTE, NC 28205-4657
Phone number: 980-616-8645
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Mailing Address
PERVIS NASH
4703 N SHARON AMITY RD APT 2
CHARLOTTE, NC 28205-4657
Phone number: 980-616-8645
Copy
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