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1194958355
KELLY LEE HENRY
COLUMBIA, SC
NPI
1194958355
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Other Name
KELLY LEE CUSIC HENRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC R 200774)
Enumeration Date
2009-09-03
Last Update Date
2009-09-03
Business Address
Mrs. KELLY LEE HENRY R.N.
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
Mrs. KELLY LEE HENRY R.N.
105 HILLPINE RD APT E-1
COLUMBIA, SC 29212-2429
Phone number: 803-740-5197
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