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1013174788
NANCY MARIE MANDISH
IRMO, SC
NPI
1013174788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 2194)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
-- NANCY MARIE MANDISH DDS
1380 LAKE MURRAY BLVD
IRMO, SC 29063-2836
Phone number: 803-781-8114
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Mailing Address
-- NANCY MARIE MANDISH DDS
PO BOX 2147
IRMO, SC 29063-7147
Phone number: 803-781-8114
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