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1215069240
GREGORY EUGENE EDWARDS
WILSON, NC
NPI
1215069240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: NC FCL-098-014)
Enumeration Date
2007-03-13
Last Update Date
2007-07-09
Business Address
Mr. GREGORY EUGENE EDWARDS
516 DEANS ST W
WILSON, NC 27893-2802
Phone number: 252-399-7069
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Mailing Address
Mr. GREGORY EUGENE EDWARDS
516 DEANS ST W
WILSON, NC 27893-2802
Phone number: 252-399-7069
Copy
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