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Individual

CAROL LONG ALSUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
535 POWDERSVILLE MAIN, EASLEY, SC 29642-9354
(864) 269-4571
Mailing address
535 POWDERSVILLE MAIN, EASLEY, SC 29642-9354
(864) 269-4571

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1104973577
SC

Other

Enumeration date
11/06/2019
Last updated
11/06/2019
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