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1346973609
SENECA DECASTRO
IRMO, SC
NPI
1346973609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: SC 1286)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
SENECA DECASTRO Optician
WALMART VISION CENTER 1180 DUTCH FORK RD
IRMO, SC 29063
Phone number: 803-740-2635
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Mailing Address
SENECA DECASTRO Optician
PO BOX 892
CHAPIN, SC 29036-0892
Phone number: 727-204-6791
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