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1770816571
JESSE JAMES TATE
WILMINGTON, NC
NPI
1770816571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
-- JESSE JAMES TATE
610 VARSITY DR
WILMINGTON, NC 28403-8444
Phone number: 910-520-2921
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Mailing Address
-- JESSE JAMES TATE
610 VARSITY DR
WILMINGTON, NC 28403-8444
Phone number: 910-520-2921
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