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1992577498
KENNETH NIEVES
COLUMBIA, SC
NPI
1992577498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 12143)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
KENNETH NIEVES LMT
1825 SUMTER ST
COLUMBIA, SC 29201-2501
Phone number: 803-806-8889
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Mailing Address
KENNETH NIEVES LMT
1825 SUMTER ST
COLUMBIA, SC 29201-2501
Phone number: 803-806-8889
Copy
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