JEFFERSON GRANT

GREENVILLE, SC
NPI1245960202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: SC  798)
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
JEFFERSON GRANT LDO
3925 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-2813
Mailing Address
JEFFERSON GRANT LDO
3925 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-2813
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