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1326899162
LUCIAN BLOODWORTH
GREENVILLE, SC
NPI
1326899162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
LUCIAN BLOODWORTH
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-5515
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Mailing Address
LUCIAN BLOODWORTH
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number:
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