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1801678057
CN3
WILMINGTON, NC
NPI
1801678057
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Entity Type
Organization
Authorized Contact
CLYDE CARSON NANCE
Owner
843-496-4756
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2023-10-20
Last Update Date
2023-11-17
Business Address
CN3
1670 FALLEN LEAF LN # D
WILMINGTON, NC 28403-5594
Phone number: 843-496-4756
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Mailing Address
CN3
1670 FALLEN LEAF LN # D
WILMINGTON, NC 28403-5594
Phone number: 843-496-4756
Copy
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