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Organization

PURPLE BUTTERFLY A V STEAM BAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEISHA LYNETTE SMITH (OWNER OPERATOR)
(973) 619-3515
Entity
Organization

Contact information

Practice address
8214 POZZI RD, CHARLOTTE, NC 28216-2329
(973) 619-3515
Mailing address
8214 POZZI RD, CHARLOTTE, NC 28216-2329
(973) 619-3515

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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