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1134481716
EDGAR COLON
WINSTON SALEM, NC
NPI
1134481716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
-- EDGAR COLON
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470
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Mailing Address
-- EDGAR COLON
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470
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