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1801036066
NIBLOCK JACK PROFESSIONAL SERVICES
DURHAM, NC
NPI
1801036066
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Entity Type
Organization
Authorized Contact
KATHERINE GRACE NIBLOCK
Manager
919-237-2086
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC 714)
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
NIBLOCK JACK PROFESSIONAL SERVICES
5 SANDSTONE RIDGE CT
DURHAM, NC 27713-9340
Phone number: 919-237-2086
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Mailing Address
NIBLOCK JACK PROFESSIONAL SERVICES
5 SANDSTONE RIDGE CT
DURHAM, NC 27713-9340
Phone number:
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