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1609286145
ILLUMINATED DIRECTION
DURHAM, NC
NPI
1609286145
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Entity Type
Organization
Authorized Contact
JONATHAN DALANDISH LACEWELL
Owner
919-452-7931
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
ILLUMINATED DIRECTION
800 N MANGUM ST STE 104
DURHAM, NC 27701-2260
Phone number: 919-450-6446
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Mailing Address
ILLUMINATED DIRECTION
2628 CAMELLIA DR APT C
DURHAM, NC 27705-2054
Phone number: 919-452-7931
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