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1063041143
JUSTIN MACK
FLORENCE, SC
NPI
1063041143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-04-02
Last Update Date
2021-10-07
Business Address
JUSTIN MACK
1951 PISGAH RD STE 122
FLORENCE, SC 29501-6705
Phone number: 843-413-2854
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Mailing Address
JUSTIN MACK
1951 PISGAH RD STE 122
FLORENCE, SC 29501-6705
Phone number: 843-413-2854
Copy
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