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1558994061
MICHELLE CAROLYN COLLYMORE
COLUMBIA, SC
NPI
1558994061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: SC 9691)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
MICHELLE CAROLYN COLLYMORE
3402 MAYBANK ST
COLUMBIA, SC 29204-2858
Phone number: 803-728-0675
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Mailing Address
MICHELLE CAROLYN COLLYMORE
3402 MAYBANK ST
COLUMBIA, SC 29204-2858
Phone number: 803-728-0675
Copy
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