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Individual

VALERIE L OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
423 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3023
(843) 249-2722
Mailing address
423 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3023
(843) 249-2722

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFTS0480
SC

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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