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1083794275
VICKERY M. SMITH
GREENVILLE, SC
NPI
1083794275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: SC 202418097)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- VICKERY M. SMITH
15 MALLARD ST
GREENVILLE, SC 29601-3309
Phone number: 864-242-9984
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Mailing Address
-- VICKERY M. SMITH
15 MALLARD ST
GREENVILLE, SC 29601-3309
Phone number: 864-242-9984
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