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1568249001
JSPETERSONYOUTHLLC
RALEIGH, NC
NPI
1568249001
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Entity Type
Organization
Authorized Contact
JAMES JERRY PETERSON
Special Instruction
916-627-5859
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
JSPETERSONYOUTHLLC
2138 BLACKWOLF RUN LN
RALEIGH, NC 27604-5411
Phone number: 916-627-5859
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Mailing Address
JSPETERSONYOUTHLLC
2138 BLACKWOLF RUN LN
RALEIGH, NC 27604-5411
Phone number: 916-627-5859
Copy
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