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1023741279
SAMUEL JAY SIMON
GREENVILLE, SC
NPI
1023741279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: SC 685)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
SAMUEL JAY SIMON
1451 WOODRUFF RD
GREENVILLE, SC 29607-5741
Phone number: 864-234-5616
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Mailing Address
SAMUEL JAY SIMON
1451 WOODRUFF RD
GREENVILLE, SC 29607-5741
Phone number: 864-234-5616
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