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Organization

BEAUTY BAR & SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARIE ANTIONETTE MESSICK (OWNER)
(919) 210-8535
Entity
Organization

Contact information

Practice address
7830 GOOD MIDDLING DR STE A, FAYETTEVILLE, NC 28304-5996
(910) 223-9252
(910) 223-9252
Mailing address
439 WESTWOOD SHOPPING CTR STE 112, FAYETTEVILLE, NC 28314-1532
(919) 210-8535

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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