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This web page states the following, "Harmar Silver Elite Dealer Bruno Presidential Award Winner." We saw that the web site said " Proudly Serving South Carolina, Georgia, and North Carolina." It also said " Chairs, Scooters, Lifts and Ramps. Serving Georgia and The Carolina. We carry an extensive line of Home Medical Supplies and Home Medical Equipment. We also carry Home Accessibility Equipment. All included with a professional installation of our state-of-the-art products." The header had Power Wheel Chair South Carolina as the highest ranking optimized keyword. It is followed by Stair Lifts South Carolina, Mobility South Carolina, and Vehicle Lifts South Carolina which isn't as ranked as highly as Power Wheel Chair South Carolina. The next words performancemedicalsupply.com uses is Wheel Chairs. South Carolina was included and could not be seen by search crawlers.