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1235676743
RUSSELL MEYERS
PINE KNOLL SHORES, NC
NPI
1235676743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20883)
Enumeration Date
2017-01-22
Last Update Date
2017-01-22
Business Address
-- RUSSELL MEYERS LCAS-A
280 SALTER PATH RD
PINE KNOLL SHORES, NC 28512-6120
Phone number: 252-240-0019
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Mailing Address
-- RUSSELL MEYERS LCAS-A
280 SALTER PATH RD
PINE KNOLL SHORES, NC 28512-6120
Phone number: 252-240-0019
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