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1992170203
FREDDIE T. DAVIS
SPARTANBURG, SC
NPI
1992170203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC 3109)
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- FREDDIE T. DAVIS COTA/L
175 BURDETTE ST
SPARTANBURG, SC 29307-1003
Phone number: 864-596-8491
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Mailing Address
-- FREDDIE T. DAVIS COTA/L
PO BOX 970
SPARTANBURG, SC 29304-0970
Phone number: 864-596-8491
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