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1972188027
SHANNON IRENE SMITH
COLUMBIA, SC
NPI
1972188027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 10364)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
MRS. SHANNON IRENE SMITH
1625 LAKE MURRAY BLVD
COLUMBIA, SC 29212-8626
Phone number: 803-238-9464
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Mailing Address
MRS. SHANNON IRENE SMITH
131 MAYLAND CT
IRMO, SC 29063-2116
Phone number: 803-238-9464
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