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1306400759
PURE GOLD LUXZ HAIR BEAUTY LUXURY
FAYETTEVILLE, NC
NPI
1306400759
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Entity Type
Organization
Authorized Contact
FATIA RUSSELL
Owner
201-892-2678
Organization Subpart ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2019-04-30
Last Update Date
2019-08-31
Business Address
PURE GOLD LUXZ HAIR BEAUTY LUXURY
508 OWEN DR
FAYETTEVILLE, NC 28304-3417
Phone number: 910-479-6214
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Mailing Address
PURE GOLD LUXZ HAIR BEAUTY LUXURY
6245 LAKEHAVEN DR
FAYETTEVILLE, NC 28304-0610
Phone number: 201-892-2678
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