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1245362268
JENNIFER LINDA CHANNEL
JACKSONVILLE, NC
NPI
1245362268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: NC 6558)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
JENNIFER LINDA CHANNEL LMBT
411 WESTERN BLVD SUITE B
JACKSONVILLE, NC 28546-6822
Phone number: 910-581-9615
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Mailing Address
JENNIFER LINDA CHANNEL LMBT
114 WEDGEWOOD DR
JACKSONVILLE, NC 28546-7823
Phone number: 910-581-9615
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