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1689303174
JUSTIN EDWARD DEATON
GASTONIA, NC
NPI
1689303174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A17626)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
JUSTIN EDWARD DEATON
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3525
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Mailing Address
JUSTIN EDWARD DEATON
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3525
Copy
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