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1851978605
BENJAMIN BOWLES
MC CLELLANVILLE, SC
NPI
1851978605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: SC CRC-0090)
Enumeration Date
2021-03-26
Last Update Date
2021-04-22
Business Address
MR. BENJAMIN BOWLES
9270 N HIGHWAY 17
MC CLELLANVILLE, SC 29458-9422
Phone number: 843-887-4180
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Mailing Address
MR. BENJAMIN BOWLES
9270 N HIGHWAY 17
MC CLELLANVILLE, SC 29458-9422
Phone number: 843-887-4180
Copy