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1306127444
NATHAN DURANT BLANTON
LUMBERTON, NC
NPI
1306127444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 1844)
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
NATHAN DURANT BLANTON LCAS
402 N PINE ST SUITE C
LUMBERTON, NC 28358-5563
Phone number: 910-739-1666
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Mailing Address
NATHAN DURANT BLANTON LCAS
60 COMMERCE PLZ
PEMBROKE, NC 28372-7386
Phone number: 910-521-2900
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