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1346485828
CONNIE E TATE
GREENVILLE, SC
NPI
1346485828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: SC 4898)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
CONNIE E TATE L.M.T.
17 LAWTON AVE
GREENVILLE, SC 29601-2305
Phone number: 864-232-7821
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Mailing Address
CONNIE E TATE L.M.T.
205 PETE HOLLIS BLVD
GREENVILLE, SC 29601-1155
Phone number: 864-242-3707
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