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1316200090
TRIUMPH LLC
RALEIGH, NC
NPI
1316200090
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Entity Type
Organization
Authorized Contact
GERALD ENEVOLDSEN
Program Director
919-771-4854
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
TRIUMPH LLC
5505 CREEDMOOR RD STE. 100
RALEIGH, NC 27612-6352
Phone number: 919-852-5352
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Mailing Address
TRIUMPH LLC
5505 CREEDMOOR RD STE. 100
RALEIGH, NC 27612-6352
Phone number:
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