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1962263871
MIXED ROOTS LLC
RALEIGH, NC
NPI
1962263871
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Entity Type
Organization
Authorized Contact
PATRICIA MCCRAY
Salon Owner
856-236-6555
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-01-18
Last Update Date
2024-01-18
Business Address
MIXED ROOTS LLC
6300 CREEDMOOR RD STE 118
RALEIGH, NC 27612-6730
Phone number: 919-720-4080
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Mailing Address
MIXED ROOTS LLC
10624 SUNNY POINT DR
ZEBULON, NC 27597-6880
Phone number: 856-236-6555
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