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1730581141
LIASION OUTPATIENT COMPLEX LLC
GREENVILLE, NC
NPI
1730581141
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Entity Type
Organization
Authorized Contact
IVY CHAVIS
Administrator
919-264-5450
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
LIASION OUTPATIENT COMPLEX LLC
105 EASTBROOK DR
GREENVILLE, NC 27858-4216
Phone number: 252-916-1233
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Mailing Address
LIASION OUTPATIENT COMPLEX LLC
PO BOX 31062
GREENVILLE, NC 27833-1062
Phone number: 919-264-5450
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