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1619220431
PREMIERE SPORTS
RALEIGH, NC
NPI
1619220431
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Entity Type
Organization
Authorized Contact
DWAYNE WEST
Executive Director
919-270-0821
Organization Subpart ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
PREMIERE SPORTS
2245 GARNER RD
RALEIGH, NC 27610-4609
Phone number: 919-270-0821
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Mailing Address
PREMIERE SPORTS
2245 GARNER RD
RALEIGH, NC 27610-4609
Phone number: 919-270-0821
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