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1043513542
PALMETTO STATE EYECARE, LLC
COLUMBIA, SC
NPI
1043513542
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Entity Type
Organization
Authorized Contact
FERINE N. JOHANNES
Owner/Optometrist
920-915-3422
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1568)
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
PALMETTO STATE EYECARE, LLC
5426 FOREST DR
COLUMBIA, SC 29206-5401
Phone number: 803-767-9964
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Mailing Address
PALMETTO STATE EYECARE, LLC
244 LOTHROP HILL RD
LEXINGTON, SC 29072-7747
Phone number: 920-915-3422
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