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1790290872
AUDREY TISE KAZER
CHESTER, SC
NPI
1790290872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: SC RC-1399)
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
AUDREY TISE KAZER
570 CENTER RD
CHESTER, SC 29706-6880
Phone number: 336-749-1015
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Mailing Address
AUDREY TISE KAZER
PO BOX 1597
KING, NC 27021-1597
Phone number: 336-749-1015
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