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1861847600
CONNIE OLDS
COLUMBIA, SC
NPI
1861847600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: SC clia #42D2111606)
Enumeration Date
2016-04-29
Last Update Date
2016-04-29
Business Address
Mrs. CONNIE OLDS
9005 TWO NOTCH RD SUITE4
COLUMBIA, SC 29223-5850
Phone number: 803-796-8397
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Mailing Address
Mrs. CONNIE OLDS
15 BROOKMIST
COLUMBIA, SC 29229-9098
Phone number: 803-873-0797
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