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1497587596
TRACEY LYNN CAPPS
LAKE CITY, SC
NPI
1497587596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: SC 1440)
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
TRACEY LYNN CAPPS LDO
900 US 52 HWY
LAKE CITY, SC 29560-5906
Phone number: 843-394-7626
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Mailing Address
TRACEY LYNN CAPPS LDO
4562 OAK GROVE RD
EFFINGHAM, SC 29541-3820
Phone number: 843-687-5127
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