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1659770857
LENNIE S MULLIS
COLUMBIA, SC
NPI
1659770857
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Entity Type
Organization
Authorized Contact
LENNIE S MULLIS
Counselor
803-289-4298
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: SC 5741)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
LENNIE S MULLIS
1002 LOFTY PINE DR
COLUMBIA, SC 29212-2040
Phone number: 803-289-4298
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Mailing Address
LENNIE S MULLIS
1002 LOFTY PINE DR
COLUMBIA, SC 29212-2040
Phone number: 803-289-4298
Copy
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