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1528120144
KELLE SIEGMUND
MYRTLE BEACH, SC
NPI
1528120144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC SC1390)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
KELLE SIEGMUND OD
10820 N KINGS HWY
MYRTLE BEACH, SC 29572
Phone number: 843-467-2060
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Mailing Address
KELLE SIEGMUND OD
8068 CORTONA DR
MYRTLE BEACH, SC 29572-8002
Phone number: 843-467-2060
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