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Organization

OLD SOULS NEW SHOES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD MULLINS (OWNER)
(704) 970-8237
Entity
Organization

Contact information

Practice address
513 CHESTER AVE, GREAT FALLS, SC 29055-1219
(704) 970-8237
Mailing address
513 CHESTER AVE, GREAT FALLS, SC 29055-1219

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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