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1215787254
LORENZO SHEWAGN DIVINE GRAINGER
CHARLOTTE, NC
NPI
1215787254
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Entity Type
Organization
Authorized Contact
LORENZO GRAINGER
Owner
980-432-2376
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
LORENZO SHEWAGN DIVINE GRAINGER
11020 DAVID TAYLOR DR
CHARLOTTE, NC 28262-1101
Phone number: 980-432-2376
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Mailing Address
LORENZO SHEWAGN DIVINE GRAINGER
11020 DAVID TAYLOR DR
CHARLOTTE, NC 28262-1101
Phone number: 980-432-2376
Copy
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