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1578913844
URSULA LANETTE GRANTHAM
COLUMBIA, SC
NPI
1578913844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: SC 3592 IA3389)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- URSULA LANETTE GRANTHAM R.D.H.
216 BARNETBY WAY
COLUMBIA, SC 29229-9599
Phone number: 757-310-1329
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Mailing Address
-- URSULA LANETTE GRANTHAM R.D.H.
4611 HARD SCRABBLE RD SUITE#109-232
COLUMBIA, SC 29229-8584
Phone number: 803-262-3178
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