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1497242846
KENYUN PETERSON
FLORENCE, SC
NPI
1497242846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 17-37391)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
KENYUN PETERSON
500 2ND LOOP RD STE 444
FLORENCE, SC 29505-2817
Phone number: 803-905-5107
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Mailing Address
KENYUN PETERSON
2580 LIN DO CT
SUMTER, SC 29150-1832
Phone number: 803-905-4427
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