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1902145865
KEVIN MICHAEL DEIGHAN
MYRTLE BEACH, SC
NPI
1902145865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 6146)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
Mr. KEVIN MICHAEL DEIGHAN LMT
4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-5616
Phone number: 843-444-9355
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Mailing Address
Mr. KEVIN MICHAEL DEIGHAN LMT
4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-5616
Phone number: 843-444-9355
Copy
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