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1366427320
HAROLD GINO LILLY
ASHEBORO, NC
NPI
1366427320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 00078)
Enumeration Date
2005-12-13
Last Update Date
2008-09-08
Business Address
Mr. HAROLD GINO LILLY LCAS
723 S COX ST
ASHEBORO, NC 27203-6461
Phone number: 336-626-9139
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Mailing Address
Mr. HAROLD GINO LILLY LCAS
723 S COX ST
ASHEBORO, NC 27203-6461
Phone number: 336-626-9139
Copy
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