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1982923249
DIANA M BRUNSON
SUMTER, SC
NPI
1982923249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC mas6459)
Enumeration Date
2010-05-26
Last Update Date
2010-05-26
Business Address
-- DIANA M BRUNSON LMT
712 BULTMAN DR STE A
SUMTER, SC 29150-2553
Phone number: 803-774-2639
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Mailing Address
-- DIANA M BRUNSON LMT
2630 TURNINGLEAF LN
DALZELL, SC 29040
Phone number: 803-499-6744
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