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Individual

MR. VANDERBILL CHERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1215 CHARLES TAYLOR RD, AULANDER, NC 27805-9770
(252) 345-3732
(252) 345-8318
Mailing address
1215 CHARLES TAYLOR RD, AULANDER, NC 27805-9770
(252) 345-3732
(252) 345-8318

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-008-001
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801392
NC
05
7803061
NC
Enumeration date
03/12/2007
Last updated
07/09/2007
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