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1053892679
WALTER TENNYSON JAMISON
GREENVILLE, SC
NPI
1053892679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: SC ihcp-0858)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
WALTER TENNYSON JAMISON
500 MILLS AVE STE C
GREENVILLE, SC 29605-4280
Phone number: 864-214-3794
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Mailing Address
WALTER TENNYSON JAMISON
500 MILLS AVE STE C
GREENVILLE, SC 29605-4280
Phone number: 864-214-3794
Copy
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