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1659842607
GERVONIA ROBINSON
GASTONIA, NC
NPI
1659842607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
GERVONIA ROBINSON
1714 ASTER LN
GASTONIA, NC 28054-8303
Phone number: 984-221-1140
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Mailing Address
GERVONIA ROBINSON
13906 BALLANTYNE MEADOWS DR
CHARLOTTE, NC 28277-3727
Phone number: 984-221-1140
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