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1265619274
MOORE BYNUM
ROCKY MOUNT, NC
NPI
1265619274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: NC MHL-033-054)
Enumeration Date
2008-01-22
Last Update Date
2008-01-22
Business Address
Mr. MOORE BYNUM
518 ARLINGTON ST
ROCKY MOUNT, NC 27801-5657
Phone number: 252-446-2082
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Mailing Address
Mr. MOORE BYNUM
131 BYNUM PL
NORLINA, NC 27563-9139
Phone number: 252-257-2307
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