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1083469761
LATEEFAH KHADEJAH IRVINE
KINSTON, NC
NPI
1083469761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
LATEEFAH KHADEJAH IRVINE
1001 E KING ST
KINSTON, NC 28501-5733
Phone number: 252-408-8330
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Mailing Address
LATEEFAH KHADEJAH IRVINE
1004 E BRIGHT ST
KINSTON, NC 28501-5720
Phone number: 252-561-5066
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