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1124460985
LIFE SOURCE, PC
HOLLY SPRINGS, NC
NPI
1124460985
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Entity Type
Organization
Authorized Contact
FEYISAYO ADEYINA
Owner
919-552-9952
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
LIFE SOURCE, PC
1108 KENTWORTH DR SUITE 704
HOLLY SPRINGS, NC 27540-3325
Phone number: 919-552-9952
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Mailing Address
LIFE SOURCE, PC
1108 KENTWORTH DR SUITE 704
HOLLY SPRINGS, NC 27540-3325
Phone number: 919-552-9952
Copy
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