NPI | 1891882015 |
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Former Legal Business Name | SHOE REPAIR PLUS, LLC |
Entity Type | Organization |
Authorized Contact | JAY MARSHALL FLOWERS Owner 843-662-9930 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 021267790) |
Enumeration Date | 2006-10-08 |
Last Update Date | 2007-10-21 |