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1134492093
CASEY BLYTHE MOORE
GREENVILLE, SC
NPI
1134492093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC 1258)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
Ms. CASEY BLYTHE MOORE MS, ATC, SCAT
3300 PALMETTO HWY
GREENVILLE, SC 29613-0001
Phone number: 828-260-1308
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Mailing Address
Ms. CASEY BLYTHE MOORE MS, ATC, SCAT
7863 CHAMPION WAY UNIT A
NORTH CHARLESTON, SC 29418-2210
Phone number: 828-260-1308
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