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Nursing Service Providers Registered Nurse School

Provider NPI: 1750736765

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 803-351-5693  Fax: --

Business Mailing Address:
Tel: 803-351-5693  Fax: --

NPI Information:
NPI: 1750736765
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WS0200XNursing Service Providers
Registered Nurse
Local Education Agency (LEA)

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WS0200X





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