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1245734342
BREAKING DAWN LLC
MADISON, AL
NPI
1245734342
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Entity Type
Organization
Authorized Contact
MISTY DERAMUS
Owner/Clinical Social Worker
256-490-4443
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
BREAKING DAWN LLC
116 WILKERSON AVE
MADISON, AL 35756-4280
Phone number: 256-490-4443
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Mailing Address
BREAKING DAWN LLC
116 WILKERSON AVE
MADISON, AL 35756-4280
Phone number: 256-490-4443
Copy
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