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1659119634
MELANATED SPACE
DURHAM, NC
NPI
1659119634
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Entity Type
Organization
Authorized Contact
WHITLEY GRANT-GOODMAN
Owner
919-780-4197
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
MELANATED SPACE
65 TW ALEXANDER DR UNIT 110122
DURHAM, NC 27709-0933
Phone number: 919-780-4197
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Mailing Address
MELANATED SPACE
PO BOX 110122
DURHAM, NC 27709-5122
Phone number: 919-780-4197
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