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1215106984
LEON HARLIE STURDIVANT
GREENSBORO, NC
NPI
1215106984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
(Licence: NC mhl041732)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
Dr. LEON HARLIE STURDIVANT Ed.D.
808 MYSTIC DR
GREENSBORO, NC 27406-5726
Phone number: 336-854-1718
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Mailing Address
Dr. LEON HARLIE STURDIVANT Ed.D.
2501 DONLORA DR
GREENSBORO, NC 27407-6015
Phone number: 336-854-1718
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