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1144600107
WILBUR CARLYLE ARDIS
SUMTER, SC
NPI
1144600107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: SC 1074)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
Mr. WILBUR CARLYLE ARDIS
2118 GIN BRANCH RD
SUMTER, SC 29154-7203
Phone number: 803-450-0384
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Mailing Address
Mr. WILBUR CARLYLE ARDIS
2118 GIN BRANCH RD.
SUMTER, SC 29154
Phone number: 803-450-0384
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