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1730641218
DEIDRE MARTIN
GREENVILLE, SC
NPI
1730641218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
DEIDRE MARTIN
117 MANLY ST
GREENVILLE, SC 29601-3024
Phone number: 864-569-9995
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Mailing Address
DEIDRE MARTIN
117 MANLY ST
GREENVILLE, SC 29601-3024
Phone number: 864-569-9995
Copy
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