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1629214648
RONALD LEE MANGUM
CHAPEL HILL, NC
NPI
1629214648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 539)
Enumeration Date
2008-12-22
Last Update Date
2009-08-26
Business Address
-- RONALD LEE MANGUM LCAS
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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Mailing Address
-- RONALD LEE MANGUM LCAS
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
Copy
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