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1417520909
KERMIT TYRONE DAVIS
CHARLESTON, SC
NPI
1417520909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
Mr. KERMIT TYRONE DAVIS
1099 PLAYGROUND RD
CHARLESTON, SC 29407-6465
Phone number: 843-573-2111
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Mailing Address
Mr. KERMIT TYRONE DAVIS
1099 PLAYGROUND RD
CHARLESTON, SC 29407-6465
Phone number: 843-573-2111
Copy
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