MOL KY

FAIRFAX, SC
NPI1063607646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: SC  MD01101TL)
Enumeration Date2007-09-07
Last Update Date2007-09-07
Business Address
MOL KY DO
333 REVOLUTIONARY TRAIL
FAIRFAX, SC 29827
Phone number: 803-632-2533
Mailing Address
MOL KY DO
PO BOX 990 333 REVOLUTIONARY TRAIL
FAIRFAX, SC 29827
Phone number: 803-632-2533
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