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Organization
I SHINE, LLC
Active
Organization
I SHINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TRAYNHAM BARTON (MEMBER)
(864) 346-2370
Entity
Organization
Contact information
Practice address
103 SPRINGDALE ST, DUNCAN, SC 29334-9638
(864) 346-2370
Mailing address
103 SPRINGDALE ST, DUNCAN, SC 29334-9638
(864) 346-2370
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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