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1780901314
CAROL DENISE MCCLELLAN
WINSTON SALEM, NC
NPI
1780901314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: NC 10454)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
Prof. CAROL DENISE MCCLELLAN
5535 HIGHLAND TRACE CT
WINSTON SALEM, NC 27105-1760
Phone number: 336-926-1643
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Mailing Address
Prof. CAROL DENISE MCCLELLAN
5535 HIGHLAND TRACE CT
WINSTON SALEM, NC 27105-1760
Phone number: 336-926-1643
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