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1336792472
ANTOINETTE DOMINIQUE PRYOR
LADSON, SC
NPI
1336792472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 4382)
Enumeration Date
2019-07-18
Last Update Date
2019-10-13
Business Address
ANTOINETTE DOMINIQUE PRYOR SLP
9325 BLUE HOUSE RD APT 11105
LADSON, SC 29456-4230
Phone number: 803-873-2243
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Mailing Address
ANTOINETTE DOMINIQUE PRYOR SLP
9325 BLUE HOUSE RD APT 11105
LADSON, SC 29456-4230
Phone number: 803-873-2243
Copy
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