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1073074001
KELLY L MANDILE
GREENWOOD, SC
NPI
1073074001
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Former Name
KELLY L CAPUDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: SC 745)
Enumeration Date
2019-03-31
Last Update Date
2023-08-10
Business Address
KELLY L MANDILE DPM
1506 SPRING ST
GREENWOOD, SC 29646-4071
Phone number: 864-725-7430
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Mailing Address
KELLY L MANDILE DPM
1506 SPRING ST
GREENWOOD, SC 29646-4071
Phone number: 864-725-7430
Copy
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