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Organization

GRAYBEARD CONSTRUCTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY GULEN (PRESIDENT)
(610) 945-5507
Entity
Organization

Contact information

Practice address
1158 CORNWALLIS WAY, COLLEGEVILLE, PA 19426-1887
(610) 945-5507
Mailing address
1158 CORNWALLIS WAY, COLLEGEVILLE, PA 19426-1887
(610) 945-5507

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
PA066873
PA

Other

Enumeration date
04/03/2011
Last updated
04/03/2011
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