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1750420618
CHARLES GRAHAM
LUMBERTON, NC
NPI
1750420618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: NC HC1604)
Enumeration Date
2007-02-06
Last Update Date
2012-10-30
Business Address
-- CHARLES GRAHAM
4820 FAYETTEVILLE RD
LUMBERTON, NC 28358-2112
Phone number: 910-608-0430
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Mailing Address
-- CHARLES GRAHAM
4820 FAYETTEVILLE RD
LUMBERTON, NC 28358-2112
Phone number: 910-608-0430
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