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Kathryn Jeannine Smoltino
Optician in Leesville, South Carolina
NPI 1558097428

Kathryn Jeannine Smoltino is a Optician based in Leesville, SC and is specialized in Optician. Kathryn Jeannine Smoltino practices in Leesville, SC. The NPI Number for Kathryn Jeannine Smoltino is 1558097428 and holds a License No. 1063 (South Carolina).

The current practice location address for Kathryn Jeannine Smoltino is 115 E Church St, Leesville, SC and can be reached out via phone at 803-532-5339.

Location: 115 E Church St, Leesville, SC, 29070-7595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558097428
Provider Name
Kathryn Jeannine Smoltino
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 E Church St, Leesville, SC, 29070-7595
Phone Number
803-532-5339
Fax Number
Provider Enumeration Date
07/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063 01 SC OPTICIANS LICENSE
institution
Provider Business Practice Location Address Details
Address
115 E Church St
City
Leesville
State
South Carolina
Zip
29070-7595
Phone Number
803-532-5339
Fax Number
person
Provider Business Mailing Address Details
Address
115 E Church St
City
Leesville
State
South Carolina
Zip
29070-7595
Phone Number
803-532-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1063 (South Carolina)
Definition
Definition to come...
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