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1841407566
LARRY BERT MEDLIN
COLUMBIA, SC
NPI
1841407566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 4654)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. LARRY BERT MEDLIN
1500 LADY ST
COLUMBIA, SC 29201-3402
Phone number: 803-779-1995
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Mailing Address
Mr. LARRY BERT MEDLIN
1500 LADY ST
COLUMBIA, SC 29201-3402
Phone number: 803-779-1995
Copy
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