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Organization

MANE & TAILL THERAPEUTIC HORSEMANSHIP ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SAMANTHA KAREN IULO (CERTIFIED PATH INSTRUCTOR)
(252) 489-1774
Entity
Organization

Contact information

Practice address
147 COLONIAL BEACH RD, JARVISBURG, NC 27947-9704
(252) 489-1774
Mailing address
147 COLONIAL BEACH RD, JARVISBURG, NC 27947
(252) 489-1774

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/27/2011
Last updated
10/27/2011
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