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1922206416
BLUE LOTUS HEALING CENTER, LLC
CLAYTON, NC
NPI
1922206416
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Entity Type
Organization
Authorized Contact
NIVIEN IBRAHIM
Owner
919-946-8644
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004122)
Enumeration Date
2007-07-05
Last Update Date
2015-04-02
Business Address
BLUE LOTUS HEALING CENTER, LLC
8838 US HIGHWAY 70 W SUITE 200C
CLAYTON, NC 27520-4822
Phone number: 919-946-8644
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Mailing Address
BLUE LOTUS HEALING CENTER, LLC
PO BOX 1831
CLAYTON, NC 27528-1831
Phone number: 919-946-8644
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