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1073369138
COLEY BENTON MIZELL
GREENVILLE, NC
NPI
1073369138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 313851)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
COLEY BENTON MIZELL
2430 EMERALD PL STE 201
GREENVILLE, NC 27834-5743
Phone number: 252-752-2140
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Mailing Address
COLEY BENTON MIZELL
2430 EMERALD PL STE 201
GREENVILLE, NC 27834-5743
Phone number: 252-752-2140
Copy
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