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1336893957
HEATHER ANTLEY MOUNT
ORANGEBURG, SC
NPI
1336893957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP0905X Clinic/Center, Public Health, State or Local
(Licence: SC 95741)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
HEATHER ANTLEY MOUNT
1550 CAROLINA AVE
ORANGEBURG, SC 29115-4944
Phone number: 803-533-5480
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Mailing Address
HEATHER ANTLEY MOUNT
1550 CAROLINA AVE
ORANGEBURG, SC 29115-4944
Phone number:
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