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1285190355
PLACE OF PURPOSE
AHOSKIE, NC
NPI
1285190355
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Entity Type
Organization
Authorized Contact
CANDANCE H MEBANE
CEO
252-395-0631
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
PLACE OF PURPOSE
109 DR MLK JR DR N
AHOSKIE, NC 27910-7612
Phone number: 252-395-0631
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Mailing Address
PLACE OF PURPOSE
150 CHOANOKE INDIAN TRL
WINTON, NC 27986-9512
Phone number: 252-395-0631
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