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Individual

ANGELA KELLEY CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
1780 S LAKE DR, LEXINGTON, SC 29073-8102
(803) 957-1839
Mailing address
11 BLUE MOUNTAIN CT, IRMO, SC 29063-7880
(803) 315-0166

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
757
SC

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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