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1053144006
DAVID MICHAEL LOWERY
LAKE WYLIE, SC
NPI
1053144006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: SC 1430)
Enumeration Date
2024-08-24
Last Update Date
2024-08-31
Business Address
DAVID MICHAEL LOWERY
175 HIGHWAY 274
LAKE WYLIE, SC 29710-6045
Phone number: 803-619-7025
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Mailing Address
DAVID MICHAEL LOWERY
175 HIGHWAY 274
LAKE WYLIE, SC 29710-6045
Phone number: 803-619-7025
Copy
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