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PRINTED: 07/20/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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3905 Clemmons Road is a street address located in Clemmons, North Carolina.
The individuals or businesses who own or operate property at 3905 Clemmons Road may be required to file certain documents or reports.
To fill out documents related to 3905 Clemmons Road, individuals or businesses should follow the instructions provided by the relevant authorities.
The purpose of 3905 Clemmons Road may vary depending on the specific context. It could be a residential address, a commercial property, or a location for a specific event.
The information that must be reported for 3905 Clemmons Road will depend on the requirements set forth by the relevant authorities. This could include ownership information, tax details, or zoning compliance.
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