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1003500265
PRUDENCE MARTIN
GREENVILLE, SC
NPI
1003500265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
Mrs. PRUDENCE MARTIN
25 WOODS LAKE RD STE 712
GREENVILLE, SC 29607-2765
Phone number: 864-242-0005
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Mailing Address
Mrs. PRUDENCE MARTIN
104 MEILLAND DR
GREER, SC 29650-4421
Phone number: 864-444-7959
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