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1942848643
TAMARA LYNETTE WATERS
COLUMBIA, SC
NPI
1942848643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: SC 71362)
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
Mrs. TAMARA LYNETTE WATERS
10050 TWO NOTCH RD STE 7
COLUMBIA, SC 29223-4302
Phone number: 803-851-3353
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Mailing Address
Mrs. TAMARA LYNETTE WATERS
494 MARSH POINTE DR
COLUMBIA, SC 29229-7025
Phone number: 803-319-0623
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