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1427604115
CORETTA DURANT
COLUMBIA, SC
NPI
1427604115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-08-17
Last Update Date
2023-12-04
Business Address
CORETTA DURANT
645 PINE LILLY DR
COLUMBIA, SC 29229-7079
Phone number: 803-886-0908
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Mailing Address
CORETTA DURANT
645 PINE LILLY DR
COLUMBIA, SC 29229-7079
Phone number: 803-886-0908
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