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1689220220
SELENA G CARMONA
HONEA PATH, SC
NPI
1689220220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
305S00000X Point of Service
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
SELENA G CARMONA
216 HOOK RD
HONEA PATH, SC 29654-7819
Phone number: 864-865-1008
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Mailing Address
SELENA G CARMONA
216 HOOK RD
HONEA PATH, SC 29654-7819
Phone number: 864-865-1008
Copy
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