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1366853756
TAMARA PETERSON
COLUMBIA, SC
NPI
1366853756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- TAMARA PETERSON
220 CLIVE ST
COLUMBIA, SC 29204-3021
Phone number: 803-530-5314
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Mailing Address
-- TAMARA PETERSON
4840 FOREST DR SUITE 6-B, #259
COLUMBIA, SC 29206-4810
Phone number:
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