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1124751318
SHANNON NICHOLE LEWIS
IRMO, SC
NPI
1124751318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 7713)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
Ms. SHANNON NICHOLE LEWIS LMT
3561 DREHER SHOALS RD
IRMO, SC 29063-9115
Phone number: 803-201-3437
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Mailing Address
Ms. SHANNON NICHOLE LEWIS LMT
3561 DREHER SHOALS RD
IRMO, SC 29063-9115
Phone number: 803-201-3437
Copy
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