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Individual

MR. FRED SAMUEL JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2185 DEEP GAP RD, FLAT ROCK, NC 28731-5716
(828) 685-8530
Mailing address
2185 DEEP GAP RD, FLAT ROCK, NC 28731-5716
(828) 685-8530

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
359055
NC

Other

Enumeration date
08/10/2008
Last updated
08/10/2008
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