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1912132978
TARA LORRAINE CHELLIS
SUMMERVILLE, SC
NPI
1912132978
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Former Name
TARA LORRAINE BISACCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: SC 3431)
Enumeration Date
2009-05-20
Last Update Date
2012-07-09
Business Address
Dr. TARA LORRAINE CHELLIS D.C.
405 N MAGNOLIA ST
SUMMERVILLE, SC 29483-6841
Phone number: 843-871-7775
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Mailing Address
Dr. TARA LORRAINE CHELLIS D.C.
405 N MAGNOLIA ST
SUMMERVILLE, SC 29483-6841
Phone number: 843-871-7775
Copy
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