JIMMIE LEE CARROLL

LAURENS, SC
NPI1699019000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  3127)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- JIMMIE LEE CARROLL
379 PINEHAVEN STREET EXT
LAURENS, SC 29360-2672
Phone number: 864-984-6584
Mailing Address
-- JIMMIE LEE CARROLL
379 PINEHAVEN STREET EXT
LAURENS, SC 29360-2672
Phone number: 864-984-6584
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