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1972753622
ROCK HILL VA
ROCK HILL, SC
NPI
1972753622
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Entity Type
Organization
Authorized Contact
TAWNEY DIVELY
Administrator
803-366-4848
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: SC 36)
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
ROCK HILL VA
205 PIEDMONT BLVD
ROCK HILL, SC 29732-1836
Phone number: 803-366-4848
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Mailing Address
ROCK HILL VA
205 PIEDMONT BLVD
ROCK HILL, SC 29732-1836
Phone number:
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