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1376881060
KENNETH W MCCORMICK
GREENVILLE, SC
NPI
1376881060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 849)
Enumeration Date
2013-01-30
Last Update Date
2022-07-21
Business Address
-- KENNETH W MCCORMICK RD
975 W FARIS RD
GREENVILLE, SC 29605-4241
Phone number: 864-729-8330
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Mailing Address
-- KENNETH W MCCORMICK RD
PO BOX 287
GREENVILLE, SC 29602-0287
Phone number: 864-751-3200
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