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Individual

MS. CARLENE M TAYLOR-HARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.O.

Contact information

Practice address
367 W EVANS ST, FLORENCE, SC 29501
(843) 665-4343
Mailing address
367 W EVANS ST, FLORENCE, SC 29501-3429
(843) 665-4343

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
CT-1339
CT
156FX1800X
Optician
Primary
SC-1171
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1171
LICENSED OPTICIAN
SC
Enumeration date
06/16/2011
Last updated
08/21/2018
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