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1477157675
BETHANY M WILSON
SUMMERVILLE, SC
NPI
1477157675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 6845)
Enumeration Date
2020-11-28
Last Update Date
2020-11-28
Business Address
BETHANY M WILSON LMT
306 BLACK OAK BLVD
SUMMERVILLE, SC 29485-5837
Phone number: 843-809-3758
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Mailing Address
BETHANY M WILSON LMT
306 BLACK OAK BLVD
SUMMERVILLE, SC 29485-5837
Phone number: 843-809-3758
Copy
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