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1407212525
FOREST LAKE AUDIOLOGY LLC
COLUMBIA, SC
NPI
1407212525
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Entity Type
Organization
Authorized Contact
TODD GIBSON
Owner
803-888-7330
Organization Subpart ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: SC SC3435)
Enumeration Date
2016-01-05
Last Update Date
2016-03-16
Business Address
FOREST LAKE AUDIOLOGY LLC
5301 N TRENHOLM RD SUITE A
COLUMBIA, SC 29206-3226
Phone number: 803-888-7330
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Mailing Address
FOREST LAKE AUDIOLOGY LLC
5301 N TRENHOLM RD SUITE A
COLUMBIA, SC 29206-3226
Phone number: 803-888-7330
Copy
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