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1013341627
ELIZABETH G PETTY
ROEBUCK, SC
NPI
1013341627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC P13063)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
Mrs. ELIZABETH G PETTY
2401 E BLACKSTOCK RD
ROEBUCK, SC 29376-3206
Phone number: 864-576-6151
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Mailing Address
Mrs. ELIZABETH G PETTY
2401 E BLACKSTOCK RD
ROEBUCK, SC 29376-3206
Phone number: 864-576-6151
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