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1689028912
PROVIDENT PLACE
COLUMBIA, SC
NPI
1689028912
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Entity Type
Organization
Authorized Contact
MARIE FOSTER BROWN
Owner
803-447-6779
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2016-04-23
Last Update Date
2016-04-23
Business Address
PROVIDENT PLACE
418 BRADFORD LN
COLUMBIA, SC 29223-7131
Phone number: 803-447-6779
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Mailing Address
PROVIDENT PLACE
418 BRADFORD LN
COLUMBIA, SC 29223-7131
Phone number: 803-447-6779
Copy
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