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1487171278
TABATHA CROCKETT
GREENVILLE, SC
NPI
1487171278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: SC 28148)
Enumeration Date
2017-08-23
Last Update Date
2022-07-21
Business Address
TABATHA CROCKETT
1401 LAURENS RD STE J
GREENVILLE, SC 29607-2364
Phone number: 864-605-7002
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Mailing Address
TABATHA CROCKETT
1401 LAURENS RD STE J
GREENVILLE, SC 29607-2364
Phone number: 864-605-7002
Copy
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