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1144906918
SELENA WITHERSPOON
MYRTLE BEACH, SC
NPI
1144906918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
SELENA WITHERSPOON
5033 DICK POND RD UNIT A
MYRTLE BEACH, SC 29588-9680
Phone number: 843-220-0050
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Mailing Address
SELENA WITHERSPOON
2804 OPHELIA WAY
MYRTLE BEACH, SC 29577-6784
Phone number: 704-299-6382
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