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1306256003
ELLESSE BOIWKA
MOUNT PLEASANT, SC
NPI
1306256003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1857)
Enumeration Date
2014-05-02
Last Update Date
2021-02-16
Business Address
Dr. ELLESSE BOIWKA O.D.
1296 LONG GROVE DR
MOUNT PLEASANT, SC 29464-9462
Phone number: 843-388-6200
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Mailing Address
Dr. ELLESSE BOIWKA O.D.
1296 LONG GROVE DR
MOUNT PLEASANT, SC 29464-9462
Phone number: 843-388-6200
Copy
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