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1720131550
JERRY L MCDANIEL
SALTERS, SC
NPI
1720131550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: SC RBS 10506)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
MR. JERRY L MCDANIEL
481 DIXIE ROAD
SALTERS, SC 29590
Phone number: 843-387-5842
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Mailing Address
MR. JERRY L MCDANIEL
481 DIXIE ROAD
SALTERS, SC 29590
Phone number: 843-387-5842
Copy