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1003921180
KRYSTAL LEIGH BERTHELETTE
COLUMBIA, SC
NPI
1003921180
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Former Name
KRYSTAL LEIGH JOYNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1415)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Dr. KRYSTAL LEIGH BERTHELETTE OD
5420 FOREST DR
COLUMBIA, SC 29206-5401
Phone number: 803-790-4600
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Mailing Address
Dr. KRYSTAL LEIGH BERTHELETTE OD
119 LATONEA DR
COLUMBIA, SC 29210-7572
Phone number: 803-798-8642
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