Provider First Line Business Practice Location Address:
120 EAST BROAD ST
Provider Second Line Business Practice Location Address:
UNDIES FOR LESS
Provider Business Practice Location Address City Name:
STATESVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-838-0065
Provider Business Practice Location Address Fax Number:
704-881-0234
Provider Enumeration Date:
01/29/2007