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1184081739
AMAZING STAR GROUP HOME CORPORATION
NORFOLK, VA
NPI
1184081739
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Entity Type
Organization
Authorized Contact
DAVID ETUTE
Pres/CEO
757-706-2273
Organization Subpart ?
No
Primary Taxonomy
103TH0100X Psychologist, Health Service
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
AMAZING STAR GROUP HOME CORPORATION
861 GLENROCK RD SUITE 114
NORFOLK, VA 23502-3720
Phone number: 757-706-2273
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Mailing Address
AMAZING STAR GROUP HOME CORPORATION
861 GLENROCK RD SUITE 114
NORFOLK, VA 23502-3720
Phone number: 757-706-2273
Copy
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