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1154074730
SCULPTED BODIES BY DESTANI LLC.
HARTSVILLE, SC
NPI
1154074730
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Entity Type
Organization
Authorized Contact
DESTYNIE JORDAN
Owner
843-260-9062
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
SCULPTED BODIES BY DESTANI LLC.
2205 OUSLEYDALE RD
HARTSVILLE, SC 29550-8733
Phone number: 843-260-9062
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Mailing Address
SCULPTED BODIES BY DESTANI LLC.
2205 OUSLEYDALE RD
HARTSVILLE, SC 29550-8733
Phone number: 843-260-9062
Copy